Douglas Lee Beal, ANP
Nurse Practitioner, Adult Health in Portland, OR. Individual provider (NPI-1).
NPI number1164530747
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1164530747
- Entity type
- Individual (NPI-1)
- Name
- Douglas Lee Beal
- Credential
- ANP
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 25, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LA2200X | Nurse Practitioner, Adult Health | 087003278N3 | OR | Yes |
Practice location
3550 N Interstate AvePortland, OR 97227-1196
Phone 503-285-9321
Mailing address
6342 Ne 32nd PlPortland, OR 97211-6631
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