Provider Demographics
NPI:1386495737
Name:BEIANU, VALENTIN
Entity type:Individual
Prefix:
First Name:VALENTIN
Middle Name:
Last Name:BEIANU
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7607 NE 154TH AVE
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98682-5254
Mailing Address - Country:US
Mailing Address - Phone:360-784-0333
Mailing Address - Fax:360-859-4631
Practice Address - Street 1:7607 NE 154TH AVE
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98682-5254
Practice Address - Country:US
Practice Address - Phone:360-784-0333
Practice Address - Fax:360-859-4631
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-01
Last Update Date:2024-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA604761612-0001343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)