IndividualActive
Donna Benedicktus, LMP
NPI 1871895409 · Contractor · Vancouver, WA
Provider details
- NPI number
- 1871895409
- Entity type
- Individual
- Primary specialty
- ContractorOther Service Providers
- Credential
- LMP
- Sex
- Female
- Sole proprietor
- No
- License
- MA00004696 (WA)
Specialties & taxonomies
Other Service Providers
Practice location
210 E Evergreen Blvd
Vancouver, WA 98660
Phone: (360) 693-3693
Fax: (360) 693-6894
Approximate (ZIP-level) locationGet directions
Mailing address
210 E Evergreen Blvd
Vancouver, WA 98660
Registry dates
- Enumerated
- 2010-12-02
- Last updated
- 2010-12-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.