IndividualActive
Benjamyn Potvin, SF-IDC, CPHT, NREMT
NPI 1962004838 · Independent Duty Corpsman · Everett, WA
Provider details
- NPI number
- 1962004838
- Entity type
- Individual
- Primary specialty
- Independent Duty CorpsmanOther Service Providers
- Credential
- SF-IDC, CPHT, NREMT
- Sex
- Male
- Sole proprietor
- No
- License
- E3223966 (CA)
Specialties & taxonomies
Other Service Providers
Emergency Medical Service Providers
Pharmacy Service Providers
Practice location
2000 W Marine View Dr Bldg 2108
Everett, WA 98207-0001
Phone: (907) 942-2460
Approximate (ZIP-level) locationGet directions
Mailing address
10652 Horizon Lane East Se
Port Orchard, WA 98367-9605
Registry dates
- Enumerated
- 2020-11-14
- Last updated
- 2025-06-10
- Certified
- 2025-06-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.