Individual
DR. NEIL BENDLE WASHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M
Contact information
Practice address
2315 8TH ST, LEWISTON, ID 83501-7301
(208) 746-1383
(208) 746-6348
Mailing address
2315 8TH ST, LEWISTON, ID 83501-7301
(208) 746-1383
(208) 746-6348
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
P-213
ID
213E00000X
Podiatrist
PO60107600
WA
213ES0103X
Foot & Ankle Surgery Podiatrist
SC005865
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0293587
LABOR & INDUSTRIES
WA
01
—
1679700108
REGENCE BLUESHIELD
ID
05
—
1679700108
—
ID
05
—
2006137
—
WA
01
—
P2493
BC/ID
ID
Enumeration date
06/11/2009
Last updated
03/07/2016
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