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

Dr. Benjamin Wells Jaderholm, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1093128027

Dr. Benjamin Wells Jaderholm, DO is a Family Practice in Liberty Lake, Washington. Qualified in 2014, 12 years ago. Practices with Multicare Health System, a 2,302-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Ohio and Washington.

Years since qualifying
12
Licensed in
OH, WA
In the registry since
2014
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.

See every abbreviation used in this directory →

Practice location Address checks out

1326 N Stanford Ln
Liberty Lake, WA 99019-5034
Phone: (509) 838-2531
Fax: (509) 755-6580
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 100 Jackson Pike, Gallipolis, OH 45631-1560 — (855) 446-5937
  • 100 Jackson Pike, Gallipolis, OH 45631-1560 — (855) 446-5937

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence OP60804314 (WA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 58.007627 (OH)

Record details

NPI number1093128027
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 6, 2014
Last updated in NPPESApril 27, 2018
Mailing addressPo Box 3649, Spokane, WA 99220-3649

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Multicare Health System — 2302 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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