Search › Washington › 207Q00000X
Benjamin Jaderholm, D.O
NPI 1093128027 · on the registry since 2014
Practice
- Address
- 1326 N Stanford Ln
Liberty Lake, WA 99019 - Phone
- (509) 838-2531
- Fax
- (509) 755-6580
- Organisation at this address
- Rockwood Clinic Ps
Multicare Health SystemInferred from a shared address, not stated in the registry. - Clinicians at this address
- 9
Additional practice sites
- 100 Jackson Pike, Gallipolis, OH
- 100 Jackson Pike, Gallipolis, OH
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Also registered as
- 390200000X
- Licence states on file
- OH, WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-04-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington