MEDICARE: STEVEN W BECKSTROM CRNA, MAE

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	367500000X	Certified Registered Nurse Anesthetist	AP30002090	WA
2	367500000X	Certified Registered Nurse Anesthetist	54958	ID

General Provider Information

NPI Number	:	1316033210
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEVEN W BECKSTROM CRNA, MAE

Provider Business Mailing Address
First Line	:	53338 BURNETT RD E
Second Line	:
City	:	REARDAN
State	:	WA
Zip	:	99029-8637
Country	:	US
Telephone Number	:	509-994-8081
Fax Number	:	509-725-1509

Provider Business Practice Location Address
First Line	:	12509 E MISSION AVE
Second Line	:	STE 101
City	:	SPOKANE VALLEY
State	:	WA
Zip	:	99216-1049
Country	:	US
Telephone Number	:	509-928-3600
Fax Number	:	509-922-7244

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

Provider Enumeration Date	:	10/05/2006
Last Update Date	:	06/08/2026

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