Individual
DR. JASON RAY BINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11307 BRIDGEPORT WAY SW STE 220A, LAKEWOOD, WA 98499-3024
(253) 985-2733
Mailing address
11307 BRIDGEPORT WAY SW STE 220A, LAKEWOOD, WA 98499-3024
(253) 985-2733
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD60775245
WA
2086S0127X
Trauma Surgery Physician
MD60775245
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2020664
—
WA
Enumeration date
06/06/2011
Last updated
02/28/2025
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