Individual
ZACH BEACOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
625 STEVENS ST., MEDFORD, OR 97504
(541) 779-3551
Mailing address
25117 SW PARKWAY, WILSONVILLE, OR 97070
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
07/16/2015
Last updated
07/16/2015
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