Matthew James Benage
Ophthalmologist
2525 Ne 139th St Ste 280
Vancouver
, Washington 98686-2719
Matthew James Benage
Ophthalmologist
2525 Ne 139th St Ste 280
Vancouver
, Washington 98686-2719
(360) 882-2778
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About
Features
Specialties
- Ophthalmologist
Languages spoken
- English
Location
First Address
- Matthew James Benage
- Po Box 4825
- Portland, OR
- Zip : 97208-4825
- Phone : (360) 882-2778
Second Address
- Matthew James Benage
- 2525 Ne 139th St Ste 280
- Vancouver, WA
- Zip : 98686-2719
- Fax : (360) 604-1780
- Phone : (360) 882-2778
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207W00000X | Ophthalmologist | MD61034769 | WA |
National Provider Identifier
| NPI | 1013364165 |
|---|---|
| Provider Name | Matthew James Benage |
| First Address | Portland, OR 97208-4825 |
| Second Address | Vancouver, WA 98686-2719 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/05/2016 |
| Last Update Date | 14/10/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 2159830 | (05) | WA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.