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1215019112
THOMAS ALLEN BEAVER
PORTLAND, OR
NPI
1215019112
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: OR OR MD16441)
Enumeration Date
2006-10-19
Last Update Date
2007-07-08
Business Address
-- THOMAS ALLEN BEAVER M.D.
19500 SE STARK ST
PORTLAND, OR 97233-5757
Phone number: 503-669-3900
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Mailing Address
-- THOMAS ALLEN BEAVER M.D.
19500 SE STARK ST
PORTLAND, OR 97233-5757
Phone number: 503-669-3990
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