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ALAN D BEERBOHM — OIG Excluded Provider (FOREST GROVE, OR, 1128b4)

ALAN D BEERBOHM — OIG Excluded Provider (FOREST GROVE, OR, 1128b4) is one of 9,000 exclusions in the ExcludeCheck dataset. Key details — Name: ALAN D BEERBOHM; Type: Individual; Provider category: NURSING PROFESSION.

NameALAN D BEERBOHM
TypeIndividual
Provider categoryNURSING PROFESSION
SpecialtyNURSE/NURSES AIDE
CityFOREST GROVE
StateOR
ZIP97116
Exclusion authority1128b4
Exclusion reasonLicense revocation, suspension, or surrender
Exclusion date2010-04-20
SourceHHS-OIG LEIE

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