Individual
BENJAMIN ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1959 NE PACIFIC STREET, SEATTLE, WA 98185-0001
(307) 752-1605
Mailing address
12040 NE 128TH ST # MS 105, KIRKLAND, WA 98034-3013
(425) 899-2560
(425) 899-2079
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ML60861759
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
—
Enumeration date
04/04/2018
Last updated
06/28/2022
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