-- NICHOLAS BEACH -- D.O.
Individual Provider (NPI-1)
Active
Internal Medicine
Provider Information
- NPI Number
1568805786- Provider Type
- Individual Provider (NPI-1)
- Credentials
- D.O.
- Status
- Active
Contact & Location
- Address
- 24800 SE STARK ST, GRESHAM, OR, 970303378
- Phone
- (503) 413-8407
- Fax
- (503) 413-6951
Specialties & Taxonomies
Internal Medicine
Primary License: OR #do176517