Healthcare Provider Details

I. General information

NPI: 1073442539
Provider Name (Legal Business Name): BENJAMIN KENNETH GRANGER DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/19/2026
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7116 WOODLAWN AVE NE
SEATTLE WA
98115-5435
US

IV. Provider business mailing address

7116 WOODLAWN AVE NE
SEATTLE WA
98115-5435
US

V. Phone/Fax

Practice location:
  • Phone: 206-522-6240
  • Fax: 206-926-7899
Mailing address:
  • Phone: 206-522-6240
  • Fax: 206-926-7899

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCHIR.CH.70130102
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: