Individual
TOBIAS LEVI BENGSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2930 MAPLE ST, EVERETT, WA 98201-3832
(425) 261-1500
Mailing address
2930 MAPLE ST, EVERETT, WA 98201-3832
(425) 261-1500
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/05/2017
Last updated
05/18/2021
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