Individual
CHRISTYL BECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1535 N WILLIAMS AVE, PORTLAND, OR 97227-1885
(503) 238-2067
Mailing address
232 NW 6TH AVE, PORTLAND, OR 97209-3609
(503) 294-1681
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
E096796
CA
Other
Enumeration date
07/29/2013
Last updated
07/29/2013
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