Healthcare Provider Details

I. General information

NPI: 1508777301
Provider Name (Legal Business Name): BEATONE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

314 S 12TH AVE
YAKIMA WA
98902-3149
US

IV. Provider business mailing address

123 BROADWAY
SEATTLE WA
98122-7032
US

V. Phone/Fax

Practice location:
  • Phone: 360-961-1923
  • Fax:
Mailing address:
  • Phone: 360-961-1923
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. PARVANEH GHANBARI
Title or Position: OWNER
Credential:
Phone: 360-961-1923