Coulam, Benjamin Gordon

Coulam, Benjamin Gordon is an individual health care provider with primary practice located at 512 Main St E , Monmouth OR 97361-2369. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Coulam, Benjamin Gordon can be contacted via phone (503) 838-1182.

Contact Information

Primary practice address
512 Main St E Monmouth OR 97361-2369
Phone: (503) 838-1182
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 201904528NP-PP Oregon

Profile Details

NPI number 1376103887
LBN Legal business name Coulam, Benjamin Gordon
Credentials DNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2019
Last updated Jun 17th, 2019 - 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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