Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | DR.0063958 | CO |
N | 207Q00000X | Family Doctor | OL60752782 | WA |
NPI | 1003357286 |
---|---|
Provider Name | Megan Bensing |
First Address | Kennewick, WA 99336-5621 |
Second Address | Highlands Ranch, CO 80129-2395 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/03/2017 |
Last Update Date | 21/07/2020 |