Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | MD26071 | OR |
N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | MD26071 | OR |
Y | 2086S0105X | Surgery of the Hand | MD26071 | OR |
NPI | 1518996388 |
---|---|
Provider Name | Mcpherson Scott Beall III |
First Address | Portland, OR 97225-5914 |
Second Address | Portland, OR 97225-5914 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/07/2006 |
Last Update Date | 07/06/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
276350 | (05) | OR |
MD26071 | OREGON MEDICAL LICENSE (01) | OR |