# BETH A. ANDERSEN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1750465472
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | G186314 | CA | — |
| 208800000X | Urology Physician | MD00034550 | WA | — |
| 2088P0231X | Pediatric Urology Physician | 5961565 | ID | — |
| 2088P0231X | Pediatric Urology Physician | MD223301 | OR | Yes |
| 2088P0231X | Pediatric Urology Physician | WA00034550 | WA | — |

## Other

- **Enumeration date:** 10/25/2006
- **Last updated:** 01/15/2025