MR. JEFFREY BRIAN BEATTY NPI 1043328321

NPI Information

  • NPI: 1043328321
  • Provider Name: MR. JEFFREY BRIAN BEATTY
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 3325 N INTERSTATE AVE
    PORTLAND, OR
    ZIP 97227
  • Phone: (503) 331-5019

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NPI Details

MR. Jeffrey Brian Beatty is an addiction (substance use disorder) counselor in Portland, OR. MR. Jeffrey Brian Beatty NPI is 1043328321. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3325 N INTERSTATE AVE
PORTLAND, OR
ZIP 97227-020
Phone: (503) 331-5019

The enumeration date for this NPI number is 8/28/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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