Provider Demographics
NPI:1922198886
Name:BENSINGER, WILLIAM IRA (MD)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:IRA
Last Name:BENSINGER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8684 ISLAND DR S
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98118-4734
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:11311 BRIDGEPORT WAY SW STE 302
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:WA
Practice Address - Zip Code:98499-3078
Practice Address - Country:US
Practice Address - Phone:253-533-6700
Practice Address - Fax:253-584-1271
Is Sole Proprietor?:No
Enumeration Date:2006-10-13
Last Update Date:2022-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00015198207R00000X, 207RH0003X, 207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
1250OtherINTERNAL ID-MOTOR VEHICLE ID
WA1922198886Medicaid
WA0230725OtherL&I
1250OtherINTERNAL ID-MOTOR VEHICLE ID
WA1922198886Medicaid