Mark Beach
Behavior Technician in Salem, OR. Individual provider (NPI-1).
NPI number1669964680
StatusActive
Last updated in NPPESJun 5, 2018
Details
- NPI
- 1669964680
- Entity type
- Individual (NPI-1)
- Name
- Mark Beach
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 5, 2018
- Last updated
- Jun 5, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
3737 Portland Rd NeSalem, OR 97301-0311
Phone 503-390-2600
Mailing address
3737 Portland Rd NeSalem, OR 97301-0311
Phone 503-390-2600
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