Individual
MRS. ANGELA DAWN BEAUPAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1204 RAILROAD AVE STE 101, BELLINGHAM, WA 98225-5068
(360) 714-0870
(360) 714-0872
Mailing address
420 OHIO ST, BELLINGHAM, WA 98225-4637
(360) 714-0870
(360) 714-0872
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00008050
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0171222
LABOR AND INDUSTRY
WA
01
—
5359ME
REGENCE BS
WA
05
—
8335796
—
WA
01
—
A011
TRICARE
—
01
—
P00011498
RR MEDICARE
—
Enumeration date
01/24/2006
Last updated
03/09/2023
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