Beasley, Kara M

Beasley, Kara M is an individual health care provider with primary practice located at 11782 Sw Barnes Rd Ste 300 , Portland OR 97225-5933. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Beasley, Kara M can be contacted via phone (503) 214-5200.

Contact Information

Primary practice address
11782 Sw Barnes Rd Ste 300 Portland OR 97225-5933
Phone: (503) 214-5200
Fax: (503) 906-6613
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA185371 Oregon

Profile Details

NPI number 1336650159
LBN Legal business name Beasley, Kara M
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2017
Last updated May 23rd, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336650159 NPPES
Oregon Other PA185371 PA LICENSE
Oregon MEDICAID 500735049 PA LICENSE

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