Burton, Benjamin Robert

Burton, Benjamin Robert is an individual health care provider with primary practice located at 1909 Mountain View Ln Ste 200 , Forest Grove OR 97116-2894. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Burton, Benjamin Robert can be contacted via phone (503) 359-4773.

Contact Information

Primary practice address
1909 Mountain View Ln Ste 200 Forest Grove OR 97116-2894
Phone: (503) 359-4773
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X DO171244 Oregon
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OP60798348 Washington

Profile Details

NPI number 1548520869
LBN Legal business name Burton, Benjamin Robert
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 21st, 2012
Last updated Jun 22nd, 2023 - about last year

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 1548520869 NPPES
Oregon Other DO171244 STATE MEDICAL BOARD
Oregon Other OP60798348 STATE MEDICAL BOARD

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