Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Zachary Robert Beaulieu

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1114751633

Zachary Robert Beaulieu is a Student in an Organized Health Care Education/Training Program in Portland, Maine. Licensed in New Hampshire. Registered with an NPI since 2024.

Licensed in
NH
In the registry since
2024

Practice location Address checks out

716 Stevens Ave
Portland, ME 04103-2693
Phone: (207) 221-4516
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence 088654-21 (NH)

Record details

NPI number1114751633
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 27, 2024
Last updated in NPPESAugust 27, 2024
Certification dateAugust 27, 2024
Mailing address17 1/2 East St, Dover, NH 03820-3135

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