Individual
DR. OWEN ROSS BEIRNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, PHD
Contact information
Practice address
1959 NE PACIFIC ST, B241 HSB, SEATTLE, WA 98195-7131
(206) 543-7722
(206) 685-7222
Mailing address
1959 NE PACIFIC ST, PO BOX 357131, SEATTLE, WA 98195-7131
(206) 543-7722
(206) 685-7222
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DE30000001
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0175771
L&I
WA
05
—
5020268
—
WA
Enumeration date
10/12/2006
Last updated
04/30/2008
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