NPI Details | |
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NPI | 1285990689 |
Gender | Male |
Enumeration Date | 04/10/2012 |
Last Updated | 04/10/2012 |
Entity Type | Individual |
Active | Over 6 years ago |
Practice Location | |
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16821 SE MCGILLIVRAY BLVD STE 204 VANCOUVER WA, 98683-0402, US |
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Phone | (360) 433-9580 |
Fax |
Business Location | |
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15310 NE 45TH ST VANCOUVER WA, 98682-7146, US |
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Phone | (971) 207-9869 |
Fax |
Toxanomy | |
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Taxonomy Code | 111N00000X |
License State | Washington |
License Number | CH60168348 |
Remove 1285990689 NPI Number |
According to our database, Benjamin R Atwood NPI is 1285990689, taxonomy code is 111N00000X and license number is CH60168348, license state is located at Washington. Benjamin R Atwood physically located at 16821 Se Mcgillivray Blvd Ste 204, Vancouver WA, 98683-0402. NPI Number Benjamin R Atwood has the Individual type.
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1285990689 NPI number is provided on an as is basis without warranty of any kind. 1285990689 is maintained by the National Plan & Provider Enumeration System. The contents of Benjamin R Atwood are for informational purposes only.
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