| G L Beloof, M.d. Inc | |
|
1220 Main St Ste 4 Vancouver WA 98660-2953 | |
| (503) 708-8292 | |
| Not Available |
| Full Name | G L Beloof, M.d. Inc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1220 Main St Ste 4, Vancouver, Washington |
| Authorized Official Name and Position | Grant La Barre Beloof (PRESIDENT) |
| Authorized Official Contact | 5037088292 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| G L Beloof, M.d. Inc 106 Ne 88th Ave Vancouver WA 98664-2502 Ph: (503) 708-8292 | G L Beloof, M.d. Inc 1220 Main St Ste 4 Vancouver WA 98660-2953 Ph: (503) 708-8292 |
| NPI Number | 1932998481 |
|---|---|
| Provider Enumeration Date | 05/01/2025 |
| Last Update Date | 05/01/2025 |
| Certification Date | 05/01/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932998481 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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