Individual
DR. BENJAMIN WALTER DONALD ILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
500 17TH AVE, SEATTLE, WA 98122-5711
(206) 320-3700
(206) 320-5955
Mailing address
19020 33RD AVE W STE 210, LYNNWOOD, WA 98036-4748
(425) 563-1500
(425) 563-1374
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
OP61040926
WA
2085R0202X
Diagnostic Radiology Physician
5101025913
MI
2085R0202X
Diagnostic Radiology Physician
Primary
OP61040926
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0427470
L&I-RADIA REST OF WA
WA
01
—
0427471
L&I-RADIA KING CTY
WA
01
—
0427472
L&I-SWEDISH RADIA EDMONDS
WA
01
—
0427473
L&I-EVERGREEN RADIA
WA
01
—
0427475
L&I-SOUTH SOUND
WA
01
—
0427477
L&I-SEATTLE RADIOLOGY
WA
01
—
0427478
L&I-VANCOUVER RADIOLOGY
WA
05
—
2155919
—
WA
Enumeration date
03/10/2014
Last updated
12/30/2025
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