Individual
DR. JAYSON LEE BENJERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195-0001
(206) 598-5130
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
OP60138341
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OP60138341
MEDICAL LICENSE
WA
Enumeration date
02/22/2008
Last updated
07/08/2011
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