Healthcare Provider Details

I. General information

NPI: 1922949403
Provider Name (Legal Business Name): DAYNA ROSE BENEFIELD BHA, 0001
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/01/2026
Last Update Date: 04/01/2026
Certification Date: 04/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

32020 LITTLE BOSTON RD NE
KINGSTON WA
98346-9734
US

IV. Provider business mailing address

9911 CRANBERRY LN NW APT 202
SILVERDALE WA
98383-8071
US

V. Phone/Fax

Practice location:
  • Phone: 360-297-2840
  • Fax:
Mailing address:
  • Phone: 564-654-7349
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number0001
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: