Smith, Benjamin Russell
Smith, Benjamin Russell is an individual health care provider with primary practice located at 1312 Sw Washington St , Portland OR 97205-2327. He recently has only one registered license in Allopathic & Osteopathic Physicians / Addiction Medicine, which is considered as his primary health care specialty. Smith, Benjamin Russell can be contacted via phone (650) 937-9774.Contact Information
Primary practice address
1312 Sw Washington St
Portland OR 97205-2327
Phone: (650) 937-9774
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Addiction Medicine | 207QA0401X | 185564 | Oregon |
Profile Details
| NPI number | 1801184601 |
|---|---|
| LBN Legal business name | Smith, Benjamin Russell |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 13th, 2011 |
| Last updated | Sep 10th, 2021 - about 3 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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