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General NPI Number Information
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NPI Number | 1457903239
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Entity Type | Individual
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Provider Name | STEVEN JOSEPH BEARDSLEY DNP
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Gender | Male
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Dates
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Enumeration Date | 07/12/2019
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Last Update Date | 10/28/2024
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Provider Practice Location Address
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Address Line | 10000 SE MAIN ST STE 60
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City | PORTLAND
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State | OR
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Zip | 97216-2461
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Country | US
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Telephone | 503-257-0959
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Fax | 503-256-7757
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Provider Business Mailing Address
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Address Line | 10000 SE MAIN ST STE 60
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City | PORTLAND
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State | OR
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Zip | 97216-2461
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Country | US
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Telephone | 503-257-0959
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP60975916
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | NUR-APRN-LIC-174725
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License Number State | MT
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 201905384NP-PP
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License Number State | OR
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