Individual
MS. ELLY J BEACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
1339 COMMERCE AVE STE 315A, LONGVIEW, WA 98632-3729
(360) 425-1826
Mailing address
1222 10TH AVE, LONGVIEW, WA 98632-3108
(360) 846-3335
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA60266172
WA
Other
Enumeration date
02/27/2012
Last updated
12/10/2025
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