MEDICARE: JENNIFER LOREE BEEM L.AC, MSAOM

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
1	171100000X	Acupuncturist	AC 60067878	WA

General Provider Information

NPI Number	:	1255653945
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER LOREE BEEM L.AC, MSAOM

Provider Business Mailing Address
First Line	:	4121 LINDEN AVE N
Second Line	:	202
City	:	SEATTLE
State	:	WA
Zip	:	98103-7843
Country	:	US
Telephone Number	:	206-669-3200
Fax Number	:

Provider Business Practice Location Address
First Line	:	3400 HARBOR AVE SW
Second Line	:	426
City	:	SEATTLE
State	:	WA
Zip	:	98126-2394
Country	:	US
Telephone Number	:	206-669-3200
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/22/2010
Last Update Date	:	02/22/2010

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