Clark, Benjamin

Clark, Benjamin is an individual health care provider with primary practice located at 17316 Ne Halsey St , Portland OR 97230-6026. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist is his primary health care specialty. Clark, Benjamin can be contacted via phone (503) 257-6623.

Contact Information

Primary practice address
17316 Ne Halsey St Portland OR 97230-6026
Phone: (503) 257-6623
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist 222Z00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist 224P00000X

Profile Details

NPI number 1770871113
LBN Legal business name Clark, Benjamin
Credentials CPO
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2011
Last updated Mar 1st, 2018 - about 8 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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