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1619080454
DAN A BEAVER
SALEM, OR
NPI
1619080454
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Professional Name
DANIEL A BEAVER
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: OR OR DO16464)
Enumeration Date
2006-08-16
Last Update Date
2007-07-08
Business Address
Dr. DAN A BEAVER DO
5125 SKYLINE RD S
SALEM, OR 97306-9427
Phone number: 503-361-5400
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Mailing Address
Dr. DAN A BEAVER DO
3400 DEER LAKE CT SE
SALEM, OR 97317
Phone number: 503-588-6919
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