Individual
ANGELA DENISE BEAUCHAMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1402 S GRAND BLVD, SPOKANE, WA 99203-5001
(509) 455-8220
(509) 455-9172
Mailing address
PO BOX 421, LIBERTY LAKE, WA 99019-0421
(866) 747-2455
(509) 227-7070
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
PA60769549
WA
363A00000X
Physician Assistant
Primary
PA60769549
WA
Other
Enumeration date
06/27/2017
Last updated
04/16/2021
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