Husted, Benneth Ann

Husted, Benneth Ann is an individual health care provider with primary practice located at 5100 Sw Macadam Ave Suite 200, Portland OR 97239-6102. She recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as her primary health care specialty. Husted, Benneth Ann can be contacted via phone (971) 202-5500.

Contact Information

Primary practice address
5100 Sw Macadam Ave Suite 200 Portland OR 97239-6102
Phone: (971) 202-5500
Fax: (971) 202-5555
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X DO12837 Oregon

Profile Details

NPI number 1972559409
LBN Legal business name Husted, Benneth Ann
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2006
Last updated Jan 22nd, 2013 - about 12 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 1972559409 NPPES
Oregon Other 067593003 BLUE CROSS BLUE SHIELD #
Oregon MEDICAID 232132 BLUE CROSS BLUE SHIELD #

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