Thomas Allen Beaver in Portland - Internal Medicine

Thomas Allen Beaver - NPI 1215019112

Thomas Allen Beaver is a Internal Medicine in Portland, Oregon. Thomas Allen Beaver practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Thomas Allen Beaver is 1215019112. The last update date is 2007-07-08.

Thomas Allen Beaver's current location address is 19500 Se Stark St, Portland, Oregon. You can contact this provider via phone number 5036693990. The mailing address for Thomas Allen Beaver is 19500 Se Stark St, Portland, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name Thomas Allen Beaver
Address 19500 Se Stark St, Portland, Oregon
Phone Number 5036693990
Fax Number
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1215019112
Provider Enumeration Date 2006-10-19
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 19500 Se Stark St
City Portland
State Oregon (OR)
Post Code 972335757
Phone Number 5036693990
Fax Number

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No OR MD16441
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

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FAQs about Thomas Allen Beaver

What is the unique provider identifier assigned to Thomas Allen Beaver?

The Thomas Allen Beaver has been issued the NPI (National Provider Identifier) 1215019112 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical address where Thomas Allen Beaver is geographically located?

The Thomas Allen Beaver is physically situated at the following location: 19500 Se Stark St, Portland, OR, 972335757.

What is Thomas Allen Beaver's specialized field of practice, and what is the corresponding taxonomy classification code?

The Thomas Allen Beaver's area of specialization is Internal Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207R00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1215019112 to Thomas Allen Beaver?

The Centers for Medicare & Medicaid Services assigned the 1215019112 to Thomas Allen Beaver on 2006-10-19.

As of what date were the details pertaining to Thomas Allen Beaver last refreshed?

The information related to the Thomas Allen Beaver, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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