Healthcare Provider Details

I. General information

NPI: 1164332789
Provider Name (Legal Business Name): SLATE AND BEAM LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2026
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

804 W FRANKLIN AVE
CHEWELAH WA
99109-9122
US

IV. Provider business mailing address

804 W FRANKLIN AVE
CHEWELAH WA
99109-9122
US

V. Phone/Fax

Practice location:
  • Phone: 509-690-0426
  • Fax:
Mailing address:
  • Phone: 509-690-0426
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. SHAWN R MILLER
Title or Position: OWNER
Credential:
Phone: 509-690-0426