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Individual

FORREST CURTISS BENNETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
4800 SAND POINT WAY NE, SEATTLE, WA 98105-3901
(206) 987-2000
Mailing address
4500 SAND POINT WAY NE, #100, SEATTLE, WA 98105-3900

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD00014980
WA
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
MD00014980
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1467
INTERNAL ID-MOTOR VEHICLE ID
05
8380503
WA
Enumeration date
10/17/2006
Last updated
02/03/2009
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