Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225X00000X | Occupational Therapist | 374199 | OR |
N | 2251E1200X | Ergonomics | 374199 | OR |
N | 225XE1200X | Ergonomics | 374199 | OR |
N | 2251H1300X | Human Factors | 374199 | OR |
N | 225XH1300X | Human Factors | 374199 | OR |
NPI | 1316951585 |
---|---|
Provider Name | Mr. Dana Rex Beach |
First Address | Newport, OR 97365-0005 |
Second Address | Newport, OR 97365-4820 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/07/2006 |
Last Update Date | 08/07/2007 |