Individual
BEETA SHASTI-NAZEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2211 NE 139TH ST, VANCOUVER, WA 98686-2742
(360) 397-1985
Mailing address
11919 SE 199TH CT, KENT, WA 98031-0564
(425) 919-8595
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
WA
Other
Enumeration date
04/03/2023
Last updated
04/03/2023
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