Individual
SUSAN MARIE BENTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
HARBORVIEW MEDICAL CENTER, 325 9TH AVE, SEATTLE, WA 98104-2499
(206) 598-6195
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
OP00001884
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0180284
L&I
WA
05
—
1558440206
—
WA
01
—
309470
INTERNAL ID-MOTOR VEHICLE ID
—
01
—
P00054407
RAIL ROAD MEDICARE
WA
Enumeration date
11/03/2006
Last updated
01/25/2012
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