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Beau Frederick Mar Chiba
Student in an Organized Health Care Education/Training Program in Bellevue, Washington
NPI 1265856041

Beau Frederick Mar Chiba is a Student in an Organized Health Care Education/Training Program based in Bellevue, WA. Beau Frederick Mar Chiba practices in Bellevue, WA. The NPI Number for Beau Frederick Mar Chiba is 1265856041 and holds a License No. CHIBABF107QR (Washington).

The current practice location address for Beau Frederick Mar Chiba is 6140 156Th Pl Se, Bellevue, WA and can be reached out via phone at 425-518-1945.

Location: 6140 156Th Pl Se, Bellevue, WA, 98006-5308
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265856041
Provider Name
Beau Frederick Mar Chiba
Credential
Provider Entity Type
Individual
Gender
Male
Address
6140 156Th Pl Se, Bellevue, WA, 98006-5308
Phone Number
425-518-1945
Fax Number
Provider Enumeration Date
02/13/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
6140 156Th Pl Se
City
Bellevue
State
Washington
Zip
98006-5308
Phone Number
425-518-1945
Fax Number
person
Provider Business Mailing Address Details
Address
6140 156Th Pl Se
City
Bellevue
State
Washington
Zip
98006-5308
Phone Number
425-518-1945
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
CHIBABF107QR (Washington)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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