Individual
BENJAMIN D. WEAVER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1959 NE PACIFIC ST, BOX 356540, SEATTLE, WA 98195-0001
(206) 598-4260
(206) 598-8812
Mailing address
PO BOX 24975, 359107, SEATTLE, WA 98124-0975
(206) 598-8920
(206) 598-7663
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN00136294
WA
367500000X
Certified Registered Nurse Anesthetist
AP30006644
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0181288
LABOR & INDUSTRY
WA
05
—
9640236
—
WA
Enumeration date
04/10/2006
Last updated
09/11/2025
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