Provider Demographics
NPI:1073666160
Name:OOS, BECKY JEAN (LAC)
Entity Type:Individual
Prefix:
First Name:BECKY
Middle Name:JEAN
Last Name:OOS
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 20144
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99204-7144
Mailing Address - Country:US
Mailing Address - Phone:509-230-4580
Mailing Address - Fax:
Practice Address - Street 1:20 W MAIN AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99201-0172
Practice Address - Country:US
Practice Address - Phone:509-230-4580
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAC00000504171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist