Pataroque, Benito G
Pataroque, Benito G is an sole proprietor health care provider with primary practice located at 6485 Sw Borland Rd Suite D, Tualatin OR 97062-9762. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Pataroque, Benito G can be contacted via phone (503) 692-3647.Contact Information
Primary practice address
6485 Sw Borland Rd Suite D
Tualatin OR 97062-9762
Phone: (503) 692-3647
Fax: (503) 691-1670
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 23386 | Oregon |
Profile Details
| NPI number | 1033100714 |
|---|---|
| LBN Legal business name | Pataroque, Benito G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 2nd, 2005 |
| Last updated | Oct 2nd, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033100714 | NPPES |
| Oregon | MEDICAID | 181643 |
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