Individual
PHILIP NARCISO BUENVENIDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
34617 11TH PL S STE 204, FEDERAL WAY, WA 98003-8706
(253) 874-8445
(253) 874-2085
Mailing address
34617 11TH PL S STE 204, FEDERAL WAY, WA 98003-8706
(253) 874-8445
(253) 874-2085
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00022337
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1050640
—
WA
01
—
78051
LABOR AND INDUSTRY
WA
01
—
BU8884
REGENCE
—
01
—
MD00022337
STATE LICENSE
—
Enumeration date
07/14/2006
Last updated
05/01/2024
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