Individual
BENJAMIN E SIAPCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2100 LITTLE MOUNTAIN LN, MOUNT VERNON, WA 98274-8752
(360) 416-6735
(360) 424-6924
Mailing address
PO BOX 97115, LAKEWOOD, WA 98497-0115
(253) 588-7911
(253) 984-6774
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN00156113
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0228823
LABOR & INDUSTRIES
WA
Enumeration date
08/31/2006
Last updated
06/09/2010
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