Benjamin Ross Park, DO
Benjamin Ross Park, DO is a Diagnostic Radiology in Bothell, Washington. Graduated from Michigan State University College of Osteopathic Medicine in 2013, 13 years ago. Practices with Centra Medical Group LLC, a 717-clinician group and accepts Medicare assignment. Licensed in Colorado and Virginia.
- Years since qualifying
- 13
- Trained at
- Michigan State University College of Osteopathic Medicine
- Licensed in
- CO, VA
- In the registry since
- 2013
- Specialties on file
- 2
What do these letters mean?
- DO — Doctor of Osteopathic Medicine
- A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.
Practice location Address checks out
22100 Bothell Everett HwyBothell, WA 98021-8431
Phone: (208) 416-2932
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Diagnostic Radiology Physician (primary) | Taxonomy 2085R0202X · Licence DR.0061359 (CO) |
|---|---|
| Diagnostic Radiology Physician | Taxonomy 2085R0202X · Licence 0102205720 (VA) |
Record details
| NPI number | 1770922676 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | DO |
| Sole proprietor | No |
| NPI enumerated | June 24, 2013 |
| Last updated in NPPES | December 4, 2023 |
| Certification date | December 4, 2023 |
| Mailing address | 669 Carved Ter, Colorado Springs, CO 80919-1130 |
Medicare enrollment
| Medicare specialty | DIAGNOSTIC RADIOLOGY |
|---|---|
| Medical school | MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduated | 2013 (13 years in practice) |
| Group practice | Centra Medical Group Llc — 717 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 26 on file with Medicare |
Other providers in Bothell
-
Michael David Berven, MD
22100 Bothell Everett Hwy, Bothell, WA 98021-8431 · (855) 687-7237
-
Direct Radiology PLLC
22100 Bothell Everett Hwy, Bothell, WA 98021-8431 · (855) 687-7237