Healthcare Provider Details

I. General information

NPI: 1346403144
Provider Name (Legal Business Name): RICHARD BENJAMIN THOMPSON DO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/02/2008
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 W MARINE VIEW DR BLDG 2010
EVERETT WA
98207-5000
US

IV. Provider business mailing address

2000 W MARINE VIEW DR BLDG 2010
EVERETT WA
98207-5000
US

V. Phone/Fax

Practice location:
  • Phone: 425-304-4060
  • Fax: 425-304-4101
Mailing address:
  • Phone: 425-304-4097
  • Fax: 425-304-4101

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171000000X
TaxonomyMilitary Health Care Provider
License NumberOP60197514
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberOP60197514
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: