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Keith David Beckman, LMP

Specialist in Bellevue, WA. Individual provider (NPI-1).

NPI number1407076136
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1407076136
Entity type
Individual (NPI-1)
Name
Mr. Keith David Beckman
Credential
LMP
Sex
Male
Sole proprietor
No
Enumeration date
Apr 26, 2007
Last updated
Jul 8, 2007

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
174400000X SpecialistMA00018850WAYes

Practice location

14700 Ne 8th St Ste 115
Bellevue, WA 98007-4115

Phone 425-644-8386 · Fax 425-644-2560

Mailing address

14700 Ne 8th St Ste 115
Bellevue, WA 98007-4115

Phone 425-644-8386 · Fax 425-644-2560

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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