NICHOLAS BEACH

GRESHAM, OR
NPI1568805786
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: OR  do176517)
Enumeration Date2013-04-08
Last Update Date2016-06-09
Business Address
-- NICHOLAS BEACH D.O.
24800 SE STARK ST
GRESHAM, OR 97030-3378
Phone number: 503-413-8407
Mailing Address
-- NICHOLAS BEACH D.O.
PO BOX 3777
PORTLAND, OR 97208-3777
Phone number: 503-413-3900
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