Individual
BENJAMIN HENRY BIASELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AAC
Contact information
Practice address
6221 NE FOURTH PLAIN BLVD APT 130, VANCOUVER, WA 98661-7210
(360) 831-0908
Mailing address
6221 NE FOURTH PLAIN BLVD APT 130, VANCOUVER, WA 98661-7210
(360) 831-0908
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10007
—
WA
Enumeration date
12/21/2022
Last updated
12/21/2022
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