Healthcare Provider Details

I. General information

NPI: 1881716991
Provider Name (Legal Business Name): CINDY D BEEKS LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/06/2007
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

58646 MCNULTY WAY
SAINT HELENS OR
97051-6210
US

IV. Provider business mailing address

2007 NW SHEFFIELD AVE
BEAVERTON OR
97006-7497
US

V. Phone/Fax

Practice location:
  • Phone: 503-397-5211
  • Fax: 503-397-5373
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberC1152
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: