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Contact Information

JEFFERY BEALE, LMT
4650 SW MUELLER DR
#D304
BEAVERTON, OR97078-2506
 Phone: 503-954-9176
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mechanotherapist

172M00000X
Indicates primary specialty

NPI Profile & details for JEFFERY BEALE · (Male)

NPI Number 1639560352
Status Active
Credentials LMT (Licensed Massage Therapist)
Entity Individual
Enumeration date 02/17/2015
Last updated 02/17/2015 - About 11 years ago
Sole proprietor 1 Yes
Identifiers
  • OR License # 19957
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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