IndividualActive
Benjamin Betteridge, MD, CAQ SPORTS MEDIC
NPI 1225007388 · Sports Medicine (Emergency Medicine) Physician · Tacoma, WA
Provider details
- NPI number
- 1225007388
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Emergency Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD, CAQ SPORTS MEDIC
- Sex
- Male
- Sole proprietor
- Yes
- License
- 2948311205 (UT)
Practice location
3733 So Thompson Ave
Tacoma, WA 98418
Phone: (253) 472-4473
Fax: (253) 474-3056
Mailing address
2721 Soundview Dr. West
University Place, WA 98466
Registry dates
- Enumerated
- 2006-03-14
- Last updated
- 2023-07-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.