Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0200X | Infectious Disease | MD60350991 | WA |
NPI | 1013213610 |
---|---|
Provider Name | Jason Aaron Beste |
First Address | Seattle, WA 98145-5095 |
Second Address | Seattle, WA 98104 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/01/2011 |
Last Update Date | 12/06/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1013213610 | (05) | WA |