Basic Information
Provider Information
NPI: 1518266394
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BENZIGER
FirstName: CATHERINE
MiddleName: P
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: PASTORIUS
OtherFirstName: CATHERINE
OtherMiddleName: A
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential: M.D.
OtherLastNameType: 1
Mailing Information
Address1: 206 3RD AVE S
Address2: BOX 359945
City: SEATTLE
State: WA
PostalCode: 981042697
CountryCode: US
TelephoneNumber: 2067441599
FaxNumber:  
Practice Location
Address1: 206 3RD AVE S
Address2: BOX 359945
City: SEATTLE
State: WA
PostalCode: 981042697
CountryCode: US
TelephoneNumber: 2067441599
FaxNumber:  
Other Information
ProviderEnumerationDate: 03/20/2011
LastUpdateDate: 07/25/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000XMD60391079WAY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


Home