Healthcare Provider Details

I. General information

NPI: 1033158100
Provider Name (Legal Business Name): AMY MARIA BECKEN AU.D., CCC-A
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/05/2006
Last Update Date: 09/09/2024
Certification Date: 09/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2601 CHERRY AVE STE 206
BREMERTON WA
98310-4208
US

IV. Provider business mailing address

9730 3RD AVE NE STE 201
SEATTLE WA
98115-2023
US

V. Phone/Fax

Practice location:
  • Phone: 360-373-1250
  • Fax: 360-373-0834
Mailing address:
  • Phone: 206-367-1345
  • Fax: 206-367-1366

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberLD00000966
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License NumberLD00000966
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: