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NPI Code Detail

MEDICARE: TERREN REX BEEMAN CDPT

MEDICARE: TERREN REX BEEMAN CDPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor60721626WA

General Provider Information

NPI Number : 1124543491
Entity Type Code : Individual
Provider Name (Legal Business Name) : TERREN REX BEEMAN CDPT
Provider Business Mailing Address
First Line : 518 S BROWNE ST
Second Line :
City : SPOKANE
State : WA
Zip : 99204-2315
Country : US
Telephone Number : 509-456-5465
Fax Number : 509-456-5710
Provider Business Practice Location Address
First Line : 518 S BROWNE ST
Second Line :
City : SPOKANE
State : WA
Zip : 99204-2315
Country : US
Telephone Number : 509-456-5465
Fax Number : 509-456-5710
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/08/2017
Last Update Date : 07/21/2022

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Directions to “ TERREN REX BEEMAN CDPT” Practice Location

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