Ronald Eric Beaman, PHARMD
Individual provider Active NPI Pharmacist · Wilsonville, OR
NPI 1962837674 · NPPES record last updated Jun 23, 2022
Key facts
- NPI
- 1962837674
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 11186 (OR)
- Practice address
- 9150 SW Pioneer CT
Wilsonville, OR 97070-9623 - Phone
- (503) 303-7111
- NPI assigned
- Sep 12, 2013
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11186 | OR | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 11186 | OR | Yes |
Addresses
Primary practice location
9150 SW Pioneer CT
Wilsonville, OR 97070-9623
Mailing address
PO Box 231056
Portland, OR 97281-1056
Phone (503) 201-2763
Other providers in Wilsonville, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 23, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.