Provider Demographics
NPI:1558999474
Name:BENNER, NATHAN RICHARD
Entity Type:Individual
Prefix:
First Name:NATHAN
Middle Name:RICHARD
Last Name:BENNER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:UW MEDICINE HARBORVIEW MEDICAL CENTER
Mailing Address - Street 2:ORTHO BOX 359798, 325 NINTH AVENUE
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98104
Mailing Address - Country:US
Mailing Address - Phone:206-744-4930
Mailing Address - Fax:206-744-3227
Practice Address - Street 1:UW MEDICINE-HARBORVIEW MEDICAL CENTER ORTHOPAEDICS
Practice Address - Street 2:325 NINTH AVENUE
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98104
Practice Address - Country:US
Practice Address - Phone:206-744-4930
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-27
Last Update Date:2020-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program