JEFFREY BRIAN BEATTY

PORTLAND, OR
NPI1043328321
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2006-08-28
Last Update Date2007-07-08
Business Address
Mr. JEFFREY BRIAN BEATTY
3325 N INTERSTATE AVE
PORTLAND, OR 97227-1020
Phone number: 503-331-5019
Mailing Address
Mr. JEFFREY BRIAN BEATTY
3405 NE MULTNOMAH ST
PORTLAND, OR 97232-1910
Phone number:
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