MEDICARE: BENJAMIN KENNETH GRANGER DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	CHIR.CH.70130102	WA

General Provider Information

NPI Number	:	1073442539
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BENJAMIN KENNETH GRANGER DC

Provider Business Mailing Address
First Line	:	7116 WOODLAWN AVE NE
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98115-5435
Country	:	US
Telephone Number	:	206-522-6240
Fax Number	:	206-926-7899

Provider Business Practice Location Address
First Line	:	7116 WOODLAWN AVE NE
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98115-5435
Country	:	US
Telephone Number	:	206-522-6240
Fax Number	:	206-926-7899

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/19/2026
Last Update Date	:	05/19/2026

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Directions to “ BENJAMIN KENNETH GRANGER DC” Practice Location

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