| Doctor Name: | BETH L KING |
| NPI Number: | 1003147695 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN, CDE |
| License Number: | RN00065069 |
| Business Practice Address: | 2101 Ne 139th St Suite 460 Vancouver, WA - 986862309 |
| Business Phone Number: | 3604872727 |
| Business Fax Number: | 3604872729 |
| Mailing Address: | Po Box 2077, PORTLAND |
| State: | OR |
| Postal Code: | 972082077 |
| Phone Number: | 5034133900 |
| Fax Number: | 5034133710 |
| NPI Enumeration Date: | 01/20/2010 |
| NPI Last Update Date: | 01/20/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WD0400X |
| License Number: | RN00065069 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Diabetes Educator |
| Taxonomy Definition: | |