Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BENJAMIN ROSS PARK, D.O.
ActiveBENJAMIN ROSS PARK, D.O. is a Diagnostic Radiology healthcare provider located in BOTHELL, Washington. NPI 1770922676 is currently active in the NPPES registry. Verify at CMS.
Diagnostic Radiology · BOTHELL, WA
Registration Details
- NPI Number
- 1770922676
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 24, 2013 (13.174338851885 yrs)
- Last Updated
- Dec 4, 2023
- Licenses
-
0102205720 (VA)DR.0061359 (CO)
Practice Information
- Address
-
22100 BOTHELL EVERETT HWYBOTHELL, WA, 980218431Browse WA providers · Browse ZIP 98021
- Phone
- 2084162932
- Primary Specialty
-
Diagnostic Radiology
2085R0202X
- Additional Specialty
- Diagnostic Radiology
Other Diagnostic Radiology Providers in BOTHELL, WA
| Name | Credential | NPI |
|---|---|---|
| MICHAEL DAVID BERVEN | M.D. | 1871816694 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.