Individual
BENJAMIN J STAUDINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1321 COLBY AVE, MEDICAL STAFF OFFICE, EVERETT, WA 98201-1665
(425) 261-2000
Mailing address
PO BOX 3360, PORTLAND, OR 97208-3360
(866) 366-2983
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00047736
WA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD00047736
WA
207RP1001X
Pulmonary Disease Physician
MD00047736
WA
Other
Enumeration date
09/25/2006
Last updated
02/13/2015
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