BEAU FREDERICK MAR CHIBA NPI 1265856041

NPI Information

Beau Frederick Mar Chiba is a student in an organized health care education training program in Bellevue, WA. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Beau Frederick Mar Chiba NPI is 1265856041. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6140 156TH PL SE
BELLEVUE, WA
ZIP 98006-308
Phone: (425) 518-1945

The enumeration date for this NPI number is 2/13/2014 and was last updated on 2/13/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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