Provider Demographics
NPI:1013926617
Name:MURRAY A BEIGHTON
Entity Type:Organization
Organization Name:MURRAY A BEIGHTON
Other - Org Name:TWILIGHT YEARS GERIATRIC CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SOLE PROPRIETOR SUPERVISING PHYSICI
Authorized Official - Prefix:DR
Authorized Official - First Name:MURRAY
Authorized Official - Middle Name:A
Authorized Official - Last Name:BEIGHTON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:425-742-7953
Mailing Address - Street 1:6307 147TH ST SW
Mailing Address - Street 2:
Mailing Address - City:EDMONDS
Mailing Address - State:WA
Mailing Address - Zip Code:98026-3649
Mailing Address - Country:US
Mailing Address - Phone:425-742-7953
Mailing Address - Fax:425-742-3683
Practice Address - Street 1:707 228TH ST SW
Practice Address - Street 2:
Practice Address - City:BOTHELL
Practice Address - State:WA
Practice Address - Zip Code:98021-9799
Practice Address - Country:US
Practice Address - Phone:425-742-7953
Practice Address - Fax:425-742-3683
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-05
Last Update Date:2009-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0155926OtherDEPT LABOR INDUSTRY
WA7110935Medicaid
CJ5535OtherRAIL ROAD MEDICARE
CJ5535OtherRAIL ROAD MEDICARE