Whalio Doctors

NPI 1215153234

Geoffrey Enochs Beasley, MD

Practitioner Public Health & General Preventive Medicine Physician Portland, OR

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
Allopathic & Osteopathic Physicians Taxonomy 2083P0901X Licence MD 11716 (OR)

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.