NPI 1215153234
Geoffrey Enochs Beasley, MD
Practice location
- Address
- 3181 SW SW Sam Jackson Park Rd., Portland, OR 97219
- Phone
- (503) 494-8311
- Mailing address
- PO Box 40024, Portland, OR 97240-0024
Registered specialties
Public Health & General Preventive Medicine Physician
Primary
Registry record
- NPI
- 1215153234
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 18 Apr 2007
- Record last updated
- 8 Jul 2007
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.