IndividualActive
Beau Bentley, CNIM
NPI 1063147213 · Electroneurodiagnostic Specialist/Technologist · Olympia, WA
Provider details
- NPI number
- 1063147213
- Entity type
- Individual
- Primary specialty
- Electroneurodiagnostic Specialist/TechnologistTechnologists, Technicians & Other Technical Service Providers
- Credential
- CNIM
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Practice location
9333 Martin Way E
Ste 214
Olympia, WA 98516-5969
Phone: (360) 539-8487
Fax: (360) 358-9944
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 14546
Tumwater, WA 98511-4546
Registry dates
- Enumerated
- 2022-07-21
- Last updated
- 2022-07-21
- Certified
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.