Douglas, Ben Harold

Douglas, Ben Harold is an individual health care provider with primary practice located at 1100 3Rd St , Tillamook OR 97141-3402. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Medicine, which is considered as his primary health care specialty. Douglas, Ben Harold can be contacted via phone (503) 842-7533.

Contact Information

Primary practice address
1100 3Rd St Tillamook OR 97141-3402
Fax: (503) 842-9636
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X MD19528 Oregon

Profile Details

NPI number 1952527871
LBN Legal business name Douglas, Ben Harold
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2007
Last updated Mar 15th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1952527871 NPPES
Oregon MEDICAID 1952527871

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