Individual
BETH WANGELIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PE70100159
Contact information
Practice address
21810 NE 37TH AVE, RIDGEFIELD, WA 98642-7747
(844) 777-9242
(360) 397-7477
Mailing address
PO BOX 1299, BATTLE GROUND, WA 98604-1299
(844) 777-9242
(360) 397-7477
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
PE70100159
WA
Other
Enumeration date
02/17/2026
Last updated
02/17/2026
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