Provider Demographics
NPI:1497971022
Name:DANIEL E BEESON DC PC
Entity Type:Organization
Organization Name:DANIEL E BEESON DC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:E
Authorized Official - Last Name:BEESON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:503-238-7025
Mailing Address - Street 1:7215 SE 13TH AVE
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97202-5803
Mailing Address - Country:US
Mailing Address - Phone:503-238-7025
Mailing Address - Fax:503-238-1656
Practice Address - Street 1:7215 SE 13TH AVE
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97202-5803
Practice Address - Country:US
Practice Address - Phone:503-238-7025
Practice Address - Fax:503-238-1656
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-18
Last Update Date:2020-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
No175F00000XOther Service ProvidersNaturopathGroup - Multi-Specialty