Basic Information
Provider Information
NPI: 1437504677
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HAMILTON
FirstName: BENJAMIN
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 201 16TH AVE E
Address2:  
City: SEATTLE
State: WA
PostalCode: 981125226
CountryCode: US
TelephoneNumber: 2063263000
FaxNumber:  
Practice Location
Address1: 201 16TH AVE E
Address2:  
City: SEATTLE
State: WA
PostalCode: 981125226
CountryCode: US
TelephoneNumber: 2063263000
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/25/2016
LastUpdateDate: 04/08/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 04/08/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
390200000X  N Student, Health CareStudent in an Organized Health Care Education/Training Program 
207P00000XMD60961866WAY Allopathic & Osteopathic PhysiciansEmergency Medicine 

No ID Information.


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