National Provider Identifier Database

KARA M BEASLEY, PA-C – NPI #1336650159
Surgical


Contact Information

KARA M BEASLEY, PA-C
11782 SW BARNES RD STE 300
PORTLAND, OR97225-5933
Phone: 503-214-5200
Fax: 503-906-6613
Website:
Specialty Taxonomy Code
* Surgical 363AS0400X

* Indicates primary specialty

NPI Profile & details for KARA M BEASLEY

NPI Number 1336650159
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 10/19/2017
Last updated 05/23/2022 - About 4 years ago
Sole proprietor1 No
Identifiers
  • OR License #: PA185371
  • OR Medicaid: 500735049
  • OR Other: PA185371 PA LICENSE
Hospital affiliation n/a

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.

Reviews for KARA M BEASLEY, PA-C

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