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Individual

MR. BENJAMIN CHASE VAAGEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1618 S LANE ST, SEATTLE, WA 98144-2829
(206) 464-1570
(206) 624-4196
Mailing address
515 3RD AVE, SEATTLE, WA 98104-2304
(206) 464-1570
(206) 624-4196

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary

Other

Enumeration date
01/11/2021
Last updated
01/11/2021
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