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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BENJAMYN LAWRENCE POTVIN, SF-IDC, CPHT, NREMT

Active

BENJAMYN LAWRENCE POTVIN, SF-IDC, CPHT, NREMT is a Independent Duty Corpsman healthcare provider located in EVERETT, Washington. NPI 1962004838 is currently active in the NPPES registry. Verify at CMS.

Independent Duty Corpsman · EVERETT, WA

Registration Details

NPI Number
1962004838
Provider Type
Individual
Gender
Male
NPI Issued
Nov 14, 2020 (5.5695805855285 yrs)
Last Updated
Jun 10, 2025
Licenses
E3223966 (CA)
30045107 (TX)

Practice Information

Address
2000 W MARINE VIEW DR BLDG 2108
EVERETT, WA, 982070001
Browse WA providers · Browse ZIP 98207
Phone
9079422460
Primary Specialty
Independent Duty Corpsman
1710I1002X
Additional Specialty
Pharmacy Technician
Additional Specialty
Independent Duty Corpsman

Other Independent Duty Corpsman Providers in EVERETT, WA

Name Credential NPI
TIM ANDREW COFFEY IDC 1487621942
MR. KARL FREDERIC MATOUS IDC 1487723532
GARY MATTHEW VIRDELL IDC 1154491132
MR. ANDRE MAURICE CARDENAS IDC 1326171570
MR. ARMANDO GARZA I.D.C. 1306044268
MISS SAMANTHA COLLEEN LANE IDC 1144549379
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.