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1235855982
NATHAN BEACH
PORTLAND, OR
NPI
1235855982
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OR 201903663LPN)
Enumeration Date
2022-10-14
Last Update Date
2022-10-14
Business Address
NATHAN BEACH
324 NW DAVIS ST
PORTLAND, OR 97209-3925
Phone number: 503-226-2203
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Mailing Address
NATHAN BEACH
324 NW DAVIS ST
PORTLAND, OR 97209-3925
Phone number: 503-226-2203
Copy
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