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Individual

JACOB BECKSTRAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1615 DELAWARE ST, LONGVIEW, WA 98632-2367
(360) 414-2000
(360) 414-7638
Mailing address
286 N ALLEN AVE, PASADENA, CA 91106-1621
(435) 840-1607

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
95000378
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
AP61178526
WA

Other

Enumeration date
04/27/2015
Last updated
04/18/2023
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