Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0505X | Family Doctor - Adult Medicine | MD00045823 | WA |
NPI | 1063560332 |
---|---|
Provider Name | Rosemary Beck |
First Address | Seattle, WA 98124-1584 |
Second Address | Olympia, WA 98506-5115 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/01/2007 |
Last Update Date | 07/05/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
8464398 | (05) | WA |