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1013364165
MATTHEW JAMES BENAGE
VANCOUVER, WA
NPI
1013364165
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207W00000X Ophthalmology
(Licence: WA MD61034769)
Enumeration Date
2016-05-18
Last Update Date
2020-10-14
Business Address
MATTHEW JAMES BENAGE MD
2525 NE 139TH ST STE 280
VANCOUVER, WA 98686-2719
Phone number: 360-882-2778
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Mailing Address
MATTHEW JAMES BENAGE MD
PO BOX 4825
PORTLAND, OR 97208-4825
Phone number: 360-882-2778
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