NPI 1033504261 · live from the CMS NPI Registry
Reid Roberts Bennett, MD
Anesthesiology in Vancouver, WA. National Provider Identifier 1033504261, active.
NPI record
| NPI | 1033504261 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Anesthesiology 207L00000X |
| Practice location | 505 Ne 87th Ave Ste 210, Vancouver, WA 98664 |
| Practice phone | 363-828-5396 |
| Enumerated | April 3, 2015 |
| Last updated | May 8, 2019 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
| Anesthesiology primary | 207L00000X | MD60926124 (WA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.