Individual
MRS. STACEY ELIZABETH BEAUDOIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
1135 116TH AVE NE, SUITE 500, BELLEVUE, WA 98004
(425) 454-3938
(425) 454-2568
Mailing address
1135 116TH AVE NE SUITE 500, BELLEVUE, WA 98004
(425) 454-3938
(425) 454-2568
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
LD00004422
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0218801
LABOR & INDUSTRY
WA
01
—
65043U
REGENCE BLUESHIELD
WA
05
—
8476038
—
WA
Enumeration date
01/23/2007
Last updated
04/17/2008
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