| Stephen R. Beck Pc | |
|
3939 Ne Hancock, 302 Portland OR 97212-2124 | |
| (503) 280-8904 | |
| Not Available |
| Full Name | Stephen R. Beck Pc |
|---|---|
| Speciality | Social Worker |
| Location | 3939 Ne Hancock, 302, Portland, Oregon |
| Authorized Official Name and Position | Stephen Rawley Beck (PRESIDENT) |
| Authorized Official Contact | 5032808904 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stephen R. Beck Pc 3939 Ne Hancock St # 302 Portland OR 97212-5321 Ph: (503) 280-8904 | Stephen R. Beck Pc 3939 Ne Hancock, 302 Portland OR 97212-2124 Ph: (503) 280-8904 |
| NPI Number | 1336359348 |
|---|---|
| Provider Enumeration Date | 05/22/2007 |
| Last Update Date | 08/01/2013 |
| Medicare PECOS PAC ID | 6204988017 |
|---|---|
| Medicare Enrollment ID | O20090708000675 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336359348 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 1320 (Oregon) | Primary |
| Provider Name | Stephen R Beck |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538226386 PECOS PAC ID: 1951453760 Enrollment ID: I20090708000664 |
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