Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Benjamin O. Dy, MD

Individual provider Family Medicine Physician · NPI 1831253368

Dr. Benjamin O. Dy, MD is a General Practice in Tacoma, Washington. Qualified in 1965, 61 years ago. Practices with Portland Avenue Clinic Management, a 2-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
61
Licensed in
WA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4314 E Portland Ave Ste 7
Tacoma, WA 98404-4696
Phone: (253) 476-9121
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD00025491 (WA)

Record details

NPI number1831253368
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 20, 2006
Last updated in NPPESJune 21, 2013
Mailing address7116 153rd Ave Ne, Redmond, WA 98052-4297

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL PRACTICE
Medical schoolOTHER
Graduated 1965 (61 years in practice)
Group practice Portland Avenue Clinic Management — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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