Individual
JENNA BEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1401 S LAVENTURE RD, MOUNT VERNON, WA 98274-6033
(360) 424-7041
(360) 424-2418
Mailing address
1401 S LAVENTURE RD, MOUNT VERNON, WA 98274-6033
(360) 424-7041
(360) 424-2418
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
PA183326
OR
363A00000X
Physician Assistant
PA183326
OR
363AS0400X
Surgical Physician Assistant
Primary
PA60115528
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2009700
—
WA
Enumeration date
07/08/2006
Last updated
12/16/2021
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