Individual
BROOKS BENJAMIN OHLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 S 43RD ST, RENTON, WA 98055
(800) 540-1814
Mailing address
1100 9TH AVE, SEATTLE, WA 98101-2756
(206) 223-6600
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
54775
TN
207L00000X
Anesthesiology Physician
Primary
MD60720659
WA
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
MD60720659
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/01/2012
Last updated
07/26/2018
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