DONNA L BENEDICKTUS (NPI# 1871895409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1871895409 |
Entity Type | Individual |
Full Name | DONNA L BENEDICKTUS |
Credential | LMP |
Practice Address |
210 E Evergreen Blvd Vancouver WA 98660 |
Practice Telephone | 3606933693 |
Practice Fax Number | 3606936894 |
Mailing Telephone | 3606933693 |
Mailing Fax Number | 3606936894 |
Enumeration Date | 2010-12-02 |
Last Update Date | 2010-12-02 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 171W00000X | Contractor | MA00004696 | WA | Other Service Providers |
Street Address |
210 E EVERGREEN BLVD |
City | VANCOUVER |
State | WA |
Zip Code | 98660 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538779137 | Peacehealth Networks On Demand, LLC | Non-Pharmacy Dispensing Site | 781 W Columbia Way, Vancouver, WA 98660 | 2020-08-07 |
1538641527 | Melissa Molly Sivaram | Counselor | 1012 Esther St, Vancouver, WA 98660 | 2018-09-05 |
1679082598 | Christopher Lewis Schwab | Peer Specialist | 5197 Nw Lower River Rd, Vancouver, WA 98660 | 2017-09-22 |
1023560141 | Disabled Veterans Hawaii LLC | Durable Medical Equipment & Medical Supplies | 4817 Nw Fruit Valley Road, Suite 100, Vancouver, WA 98660 | 2016-10-25 |
1023493004 | Laura Nicole Wood | Counselor | 1104 Main St Ste M100, Vancouver, WA 98660 | 2015-07-20 |
1790034627 | Clark County Juvenile Court | Marriage & Family Therapist | 500 W 11th Street, Vancouver, WA 98660 | 2012-09-06 |
1538439104 | Hutton Chiropractic Clinic Inc | Chiropractor | 703 Broadway Street, Ste 650, Vancouver, WA 98660 | 2012-01-12 |
1134422629 | Brenda Marie Bible | Social Worker | 101 E 8th St Ste 110, Vancouver, WA 98660 | 2010-12-06 |
1992007801 | Peter Ray Hasemeier | Massage Therapist | 805 Broadway St., Vancouver, WA 98660 | 2010-11-29 |
1801198924 | Susan Gail Evans | Massage Therapist | 210 West Evergreen Elite Muscular Therapy, Suite 500, Vancouver, WA 98660 | 2010-11-22 |
Find all providers in zip 98660 |
Taxonomy Code | 171W00000X |
Grouping | Other Service Providers |
Classification | Contractor |
A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205486826 | Hattie Marie Stigum | Contractor | 2406 Ne 139th St Apt 298, Vancouver, WA 98686-2314 | 2019-09-16 |
1669767828 | Scott Germann | Contractor | 15410 Ne 85th Street, Vancouver, WA 98682 | 2011-06-16 |
1053636837 | Columbia Language Services | Contractor | 9303 Ne 4th Plain, Vancouver, WA 98662-6111 | 2010-04-05 |
1194951715 | Monique Marie Harris | Contractor | 8917 Ne 161st Place, Vancouver, WA 98682-0700 | 2009-06-10 |
1073782116 | Roxanne Marie Brown | Contractor | 7902 Ne St. Johns Rd. Ste 105a, Vancouver, WA 98665 | 2008-02-22 |
1871702423 | Carrie Lee Tveidt | Contractor | 9901 Ne 7th Ave Ste B232, Vancouver, WA 98685-4538 | 2007-05-21 |
1588726657 | Emil V. Knysh | Contractor | 1307-b Ne 78th. Street, Suite #3, Vancouver, WA 98665 | 2006-12-15 |
1275611501 | Jerry L Reams | Contractor | 1307b Ne 78th St., Suite 3, Vancouver, WA 98665 | 2006-11-02 |
1689075848 | Jacqueline R Lemon I | Contractor | 12214 Se Mill Plain Blvd, Suite 101, Vancouver, WA 98684-6019 | 2014-09-08 |
1386910628 | Deborah Lynn Banks | Contractor | 210 W Evergreen Blvd, Ste 500, Vancouver, WA 98660-3100 | 2012-03-30 |
Find all providers in VANCOUVER |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.