Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 175F00000X | Naturopath | 1730R | OR |
Y | 175F00000X | Naturopath | NT 60551540 | WA |
NPI | 1063717346 |
---|---|
Provider Name | Dr. Brooke Nicole-Dorothy Beck |
First Address | Camas, WA 98607-1556 |
Second Address | Camas, WA 98607-2139 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/01/2011 |
Last Update Date | 08/02/2016 |