Active NPI
Tosha Marlene Benson, LMP
- Specialist
- Vancouver, WA
National Provider Identifier
1417287293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MA00024793
- Practice address
- 14201 NE 20TH Ave
Suite 3101
Vancouver, WA 98686-6410 - Phone
- (360) 576-8599
- Fax
- (360) 576-6320
- NPI assigned
- Dec 30, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MA00024793 | WA | Primary |
Addresses
Primary practice location
14201 NE 20TH Ave
Suite 3101
Vancouver, WA 98686-6410
Mailing address
9600 NE 132ND Ave
Vancouver, WA 98682-2912
Phone (360) 518-8614
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA00024793 | WA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1262131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1262131200000",
"number": "1417287293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9600 NE 132ND AVE",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986822912",
"telephone_number": "360-518-8614"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14201 NE 20TH AVE",
"address_2": "SUITE 3101",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986866410",
"telephone_number": "360-576-8599",
"fax_number": "360-576-6320"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENSON",
"first_name": "TOSHA",
"middle_name": "MARLENE",
"credential": "LMP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-12-30",
"last_updated": "2009-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "WA",
"license": "MA00024793",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.