Individual
RYAN BECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
19400 108TH AVE SE, KENT, WA 98031-0108
(253) 852-2120
Mailing address
6544 RADIANCE BLVD E, FIFE, WA 98424
(253) 221-0186
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD60755918
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2016
Last updated
03/20/2018
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