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Individual
BETH LORAINE BLANKENSHIP
Active
Individual
BETH LORAINE BLANKENSHIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA-233
ID
363A00000X
Physician Assistant
Primary
PA10003496
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010142568
REGENCE BLUESHIELD OF ID
—
05
—
805151900
—
ID
05
—
8349268
—
WA
01
—
P01532121
RAILROAD MEDICARE-IDAHO
ID
01
—
P01566479
RAILROAD MEDICARE-WASHINGTON
WA
01
—
PAII3
BLUE CROSS OF IDAHO
—
Enumeration date
09/27/2006
Last updated
09/04/2024
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