Benson Martinez, Carlos Thomas
Benson Martinez, Carlos Thomas is an individual health care provider with primary practice located at 12655 Sw Center St Ste 100 , Beaverton OR 97005-1600. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Benson Martinez, Carlos Thomas can be contacted via phone (617) 301-0447.Contact Information
Primary practice address
12655 Sw Center St Ste 100
Beaverton OR 97005-1600
Phone: (617) 301-0447
Fax: (503) 828-3401
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Peer Specialist | 175T00000X | THW000003795 | Oregon |
Profile Details
| NPI number | 1205477783 |
|---|---|
| LBN Legal business name | Benson Martinez, Carlos Thomas |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 4th, 2019 |
| Last updated | Oct 4th, 2019 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205477783 | NPPES |
| Oregon | Other | THW000003795 | THW CERTIFICATION # |
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