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NPI Code Detail

MEDICARE: MRS. CARIN BEESLEY QMHA

MEDICARE: MRS. CARIN BEESLEY QMHA
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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1770793820
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CARIN BEESLEY QMHA
Provider Business Mailing Address
First Line : 1975 MCPHERSON ST
Second Line : SUITE 2
City : NORTH BEND
State : OR
Zip : 97459-3482
Country : US
Telephone Number : 541-756-2020
Fax Number : 541-756-8982
Provider Business Practice Location Address
First Line : 1975 MCPHERSON ST
Second Line : SUITE 2
City : NORTH BEND
State : OR
Zip : 97459-3482
Country : US
Telephone Number : 541-756-2020
Fax Number : 541-756-8982
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2007
Last Update Date : 07/08/2007

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Directions to “ MRS. CARIN BEESLEY QMHA” Practice Location

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