Ware, Benjamin M
Ware, Benjamin M is an individual health care provider with primary practice located at 4805 Ne Glisan St , Portland OR 97213-2933. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is his primary health care specialty. Ware, Benjamin M can be contacted via phone (503) 215-2669.Contact Information
Primary practice address
4805 Ne Glisan St
Portland OR 97213-2933
Phone: (503) 215-2669
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD179142 | Oregon |
| Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine | 207RH0002X | MD179142 | Oregon |
Profile Details
| NPI number | 1922411404 |
|---|---|
| LBN Legal business name | Ware, Benjamin M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 3rd, 2014 |
| Last updated | Jul 27th, 2021 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922411404 | NPPES |
| Oregon | MEDICAID | 500712148 |
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