Individual
BENJAMIN OLNEY ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
825 EASTLAKE AVE E, SEATTLE, WA 98109-4405
(206) 288-1000
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420
Taxonomy
Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
Primary
MD00031885
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0230741
L&I
WA
05
—
1942367487
—
WA
01
—
3390
INTERNAL ID-MOTOR VEHICLE ID
—
Enumeration date
01/03/2007
Last updated
03/13/2017
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