Individual
MR. DAVID JOHN BEAUCHENE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, AT/L
Contact information
Practice address
400 E UNIVERSITY WAY, ELLENSBURG, WA 98926-7502
(509) 963-3238
Mailing address
6224 48TH ST E, PUYALLUP, WA 98371-3619
(253) 820-7205
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
A1 60298159
WA
Other
Enumeration date
09/25/2013
Last updated
09/25/2013
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