Provider Demographics
NPI:1053609743
Name:BEAM, AMERIAH (DC)
Entity type:Individual
Prefix:DR
First Name:AMERIAH
Middle Name:
Last Name:BEAM
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:760 OLD WILLOW LN
Mailing Address - Street 2:
Mailing Address - City:CAMANO ISLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98282-7571
Mailing Address - Country:US
Mailing Address - Phone:206-226-5201
Mailing Address - Fax:
Practice Address - Street 1:760 OLD WILLOW LN
Practice Address - Street 2:
Practice Address - City:CAMANO ISLAND
Practice Address - State:WA
Practice Address - Zip Code:98282-7571
Practice Address - Country:US
Practice Address - Phone:206-226-5201
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-14
Last Update Date:2011-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH60209783111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor