| NPI Details | |
|---|---|
| NPI | 1285990689 |
| Gender | Male |
| Enumeration Date | 04/10/2012 |
| Last Updated | 04/10/2012 |
| Entity Type | Individual |
| Active | Over 5 years ago |
| Practice Location | |
|---|---|
| 16821 SE MCGILLIVRAY BLVD STE 204 VANCOUVER WA, 98683-0402, US |
|
| Phone | (360) 433-9580 |
| Fax | |
| Business Location | |
|---|---|
| 15310 NE 45TH ST VANCOUVER WA, 98682-7146, US |
|
| Phone | (971) 207-9869 |
| Fax | |
| Toxanomy | |
|---|---|
| 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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