Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 175L00000X | Homeopath | OH | |
N | 207Q00000X | Family Doctor | 14179 | NV |
Y | 207Q00000X | Family Doctor | MD60338708 | WA |
NPI | 1689886921 |
---|---|
Provider Name | Walid Behnawa |
First Address | Auburn, WA 98001-4939 |
Second Address | Auburn, WA 98001-4939 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/05/2007 |
Last Update Date | 17/06/2016 |