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NPI Code Detail

MEDICARE: DR. KAREN J. BENTON ND

MEDICARE: DR. KAREN J. BENTON ND
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
1175F00000XNaturopathNT1233WA

General Provider Information

NPI Number : 1508903980
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KAREN J. BENTON ND
Provider Business Mailing Address
First Line : 1402 NW 4TH ST
Second Line :
City : BATTLE GROUND
State : WA
Zip : 98604-4359
Country : US
Telephone Number : 360-687-6274
Fax Number :
Provider Business Practice Location Address
First Line : 408 E MAIN ST
Second Line :
City : BATTLE GROUND
State : WA
Zip : 98604-8506
Country : US
Telephone Number : 360-687-2799
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/01/2007
Last Update Date : 07/08/2007

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