Bennett, William M

Bennett, William M is an individual health care provider with primary practice located at 1040 Nw 22Nd Ave Suite 480, Portland OR 97210. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Bennett, William M can be contacted via phone (503) 413-6555.

Contact Information

Primary practice address
1040 Nw 22Nd Ave Suite 480 Portland OR 97210
Phone: (503) 413-6555
Fax: (503) 413-6563
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 07668 Oregon
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 09973 Washington

Profile Details

NPI number 1457320525
LBN Legal business name Bennett, William M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Apr 11th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457320525 NPPES
Washington MEDICAID 8159055
Washington MEDICAID 042044

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