# BETH LORAINE BLANKENSHIP

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1437240181
- **Gender:** F
- **Credential:** PA-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | PA-233 | ID | — |
| 363A00000X | Physician Assistant | PA10003496 | WA | Yes |

## Other

- **Enumeration date:** 09/27/2006
- **Last updated:** 09/04/2024

## 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 | — |