Individual
JANE E BEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
325 9TH AVE,, SEATTLE, WA 98104-2499
(206) 744-9382
(206) 744-9936
Mailing address
BOX 359860, 325 9TH AVE,, SEATTLE, WA 98104-2499
(206) 744-9382
(206) 744-9936
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
250301
WA STATE LABOR AND INDUSTRIES PROVIDER NUMBER
WA
Enumeration date
10/19/2010
Last updated
10/19/2010
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