MEDICARE: ERYNN A BEESON MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	MD215314	OR
2	207R00000X	Internal Medicine Physician	A202684	CA
3	208M00000X	Hospitalist Physician	MD215314	OR
4	208M00000X	Hospitalist Physician	A202684	CA

General Provider Information

NPI Number	:	1932739877
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERYNN A BEESON MD

Provider Business Mailing Address
First Line	:	3181 SW SAM JACKSON PARK RD
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97239-3011
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1101 VAN NESS AVE
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94109-6919
Country	:	US
Telephone Number	:	415-531-9047
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/20/2020
Last Update Date	:	12/16/2025

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Directions to “ ERYNN A BEESON MD” Practice Location

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