Calvert, Benjamin Lee

Calvert, Benjamin Lee is an individual health care provider with primary practice located at 1003 Providence Dr Suite 210, Newberg OR 97132-7521. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Calvert, Benjamin Lee can be contacted via phone (503) 537-5900.

Contact Information

Primary practice address
1003 Providence Dr Suite 210 Newberg OR 97132-7521
Phone: (503) 537-5900
Fax: (503) 537-5959
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD153937 Oregon

Profile Details

NPI number 1316195704
LBN Legal business name Calvert, Benjamin Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 28th, 2008
Last updated Oct 19th, 2020 - about 5 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 1316195704 NPPES
Oregon MEDICAID 500636739
Oregon Other P01287077

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