Individual
MRS. SARA G BENITEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4800 SAND POINT WAY NE MS M1-3, SEATTLE, WA 98105-3901
(206) 987-2640
(206) 987-2720
Mailing address
6108 W MERCER WAY, MERCER ISLAND, WA 98040-4849
(206) 250-5806
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA10004883
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4307256
—
MT
05
—
8441925
—
WA
Enumeration date
07/28/2006
Last updated
07/08/2007
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