Individual
C VICKY BEER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
515 MINOR AVE STE 300, SEATTLE, WA 98104-2133
(206) 386-9500
(206) 386-9605
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
(206) 568-7043
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00033079
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0039581
LABOR & INDUSTRY
WA
05
—
1346358959
—
WA
01
—
4511BE
BLUE SHIELD
WA
05
—
8188237
—
WA
01
—
US7023550
AETNA/USHC SPECIALIST
WA
Enumeration date
08/25/2006
Last updated
02/10/2020
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