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NPI Code Detail

MEDICARE: BENJAMIN ASBURY

MEDICARE: BENJAMIN ASBURY
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
1390200000XStudent in an Organized Health Care Education/Training Program
2101Y00000XCounselor

General Provider Information

NPI Number : 1245065549
Entity Type Code : Individual
Provider Name (Legal Business Name) : BENJAMIN ASBURY
Provider Business Mailing Address
First Line : 2008 WESTLAKE AVE STE 100
Second Line :
City : SEATTLE
State : WA
Zip : 98121-2695
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2008 WESTLAKE AVE STE 100
Second Line :
City : SEATTLE
State : WA
Zip : 98121-2695
Country : US
Telephone Number : 206-901-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/05/2024
Last Update Date : 06/16/2025

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Directions to “ BENJAMIN ASBURY ” Practice Location

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