Individual provider · Type 1 NPI

Benjamyn Lawrence Potvin, SF-IDC, CPHT, NREMT

Independent Duty Corpsman · Everett, WA

NPI number 1962004838 Active

Practice location

2000 W Marine View Dr Bldg 2108
Everett, WA 98207-0001

Call (907) 942-2460 Map

Mailing address

10652 Horizon Lane East SE
Port Orchard, WA 98367-9605

Specialties and licenses

TaxonomyCodeLicense
Basic Emergency Medical Technician 146N00000XE3223966 (CA)
Pharmacy Technician 183700000X30045107 (TX)
Independent Duty Corpsman Primary 1710I1002XNone listed

Independent Duty Corpsman: A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and othe…

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About NPI 1962004838

Benjamyn Lawrence Potvin, SF-IDC, CPHT, NREMT's National Provider Identifier is 1962004838, issued on Nov 14, 2020. The primary taxonomy on file is Independent Duty Corpsman (1710I1002X), and the practice location is in Everett, WA. The record was last updated on Jun 10, 2025.