Provider Demographics
NPI:1447628706
Name:BEERS, DIANA (RPH)
Entity type:Individual
Prefix:
First Name:DIANA
Middle Name:
Last Name:BEERS
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 W POPLAR ST
Mailing Address - Street 2:
Mailing Address - City:WALLA WALLA
Mailing Address - State:WA
Mailing Address - Zip Code:99362-2846
Mailing Address - Country:US
Mailing Address - Phone:508-529-8941
Mailing Address - Fax:509-522-5985
Practice Address - Street 1:401 W POPLAR ST
Practice Address - Street 2:PROVIDENCE ST MARY REGIONAL CANCER CENTER
Practice Address - City:WALLA WALLA
Practice Address - State:WA
Practice Address - Zip Code:99362-2846
Practice Address - Country:US
Practice Address - Phone:509-529-8941
Practice Address - Fax:509-522-5985
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-03
Last Update Date:2015-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH 212411835X0200X
WAPH 601974931835X0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835X0200XPharmacy Service ProvidersPharmacistOncology