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Individual

LEE BENDICKSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
1615 DELAWARE ST, LONGVIEW, WA 98632-2367
(360) 414-2000
(360) 414-7638
Mailing address
9040 JACKSON AVE, TACOMA, WA 98431-0001
(253) 968-3885

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
00169917
WA
367500000X
Certified Registered Nurse Anesthetist
Primary
AP60333564
WA

Other

Enumeration date
01/04/2013
Last updated
02/20/2020
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