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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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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