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1164530747
DOUGLAS LEE BEAL
PORTLAND, OR
NPI
1164530747
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: OR 087003278N3)
Enumeration Date
2006-08-25
Last Update Date
2007-07-08
Business Address
-- DOUGLAS LEE BEAL ANP
3550 N INTERSTATE AVE
PORTLAND, OR 97227-1196
Phone number: 503-285-9321
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Mailing Address
-- DOUGLAS LEE BEAL ANP
6342 NE 32ND PL
PORTLAND, OR 97211-6631
Phone number:
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