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1215153234
GEOFFREY ENOCHS BEASLEY
PORTLAND, OR
NPI
1215153234
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2083P0901X Preventive Medicine Public Health & General Preventive Medicine
(Licence: OR MD 11716)
Enumeration Date
2007-04-18
Last Update Date
2007-07-08
Business Address
DR. GEOFFREY ENOCHS BEASLEY MD
3181 SW SW SAM JACKSON PARK RD.
PORTLAND, OR 97219
Phone number: 503-494-8311
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Mailing Address
DR. GEOFFREY ENOCHS BEASLEY MD
PO BOX 40024
PORTLAND, OR 97240-0024
Phone number: 503-625-5494
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