Individual provider · Type 1 NPI

Beau Jarrod Bentley, CNIM

Electroneurodiagnostic Specialist/Technologist · Olympia, WA

NPI number 1063147213 Active

Practice location

9333 Martin Way E, Ste 214
Olympia, WA 98516-5969

Call (360) 539-8487 Map

Fax (360) 358-9944

Mailing address

PO Box 14546
Tumwater, WA 98511-4546

Specialties and licenses

TaxonomyCodeLicense
Electroneurodiagnostic Specialist/Technologist Primary 246ZE0600XNone listed

Electroneurodiagnostic Specialist/Technologist: Definition to come...

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About NPI 1063147213

Beau Jarrod Bentley, CNIM's National Provider Identifier is 1063147213, issued on Jul 21, 2022. The primary taxonomy on file is Electroneurodiagnostic Specialist/Technologist (246ZE0600X), and the practice location is in Olympia, WA. The record was last updated on Jul 21, 2022.