Individual provider · Type 1 NPI

Blake J. Beck, PA-C

Surgical Physician Assistant · Issaquah, WA

NPI number 1104483783 Active

Practice location

510 8th Ave NE Ste 310
Issaquah, WA 98029-5436

Fax (425) 462-5019

Other practice locations

  • 1231 116th Ave NE Ste 915, Bellevue, WA 98004-3822 · (425) 454-3938

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA56794 (CA)
Physician Assistant 363A00000XPA61261831 (WA)
Surgical Physician Assistant Primary 363AS0400XPA61261831 (WA)

Surgical Physician Assistant: Definition to come...

6 other providers at this address

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About NPI 1104483783

Blake J. Beck, PA-C's National Provider Identifier is 1104483783, issued on May 20, 2019. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Issaquah, WA. The record was last updated on Mar 21, 2024.