Individual
BENTLEY RICHARD EVERINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RNFA
Contact information
Practice address
1945 16TH LN NE, ISSAQUAH, WA 98029-7330
(206) 427-1366
Mailing address
PO BOX 2847, ISSAQUAH, WA 98027-0130
(206) 427-1366
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
RN00152528
WA
Other
Enumeration date
08/12/2017
Last updated
07/21/2022
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