Broenen, Benjamin

Broenen, Benjamin is an individual health care provider with primary practice located at 5019 Ne 102Nd Ave Unit A , Portland OR 97220-1199. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Broenen, Benjamin can be contacted via phone (971) 383-1220.

Contact Information

Primary practice address
5019 Ne 102Nd Ave Unit A Portland OR 97220-1199
Phone: (971) 383-1220
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X 23-CRM-2237 Oregon

Profile Details

NPI number 1437831021
LBN Legal business name Broenen, Benjamin
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2023
Last updated Aug 2nd, 2023 - about 2 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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