Individual
BENJAMIN MANNION
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7700 NE PARKWAY DR, VANCOUVER, WA 98662-6648
(360) 735-7155
Mailing address
3880 W LONG MEADOW DR, COEUR D ALENE, ID 83815-8551
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN60697075
WA
Other
Enumeration date
10/27/2021
Last updated
10/27/2021
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