Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207N00000X | Dermatologist | ML60755872 | WA |
N | 207NS0135X | Procedural Dermatology | ML60755872 | WA |
NPI | 1184156861 |
---|---|
Provider Name | Dr. Benjamin Perin |
First Address | Seattle, WA 98108-1532 |
Second Address | Seattle, WA 98101 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/03/2017 |
Last Update Date | 26/03/2021 |