Individual
DR. BENITO G PATAROQUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6485 SW BORLAND RD, SUITE D, TUALATIN, OR 97062-9762
(503) 692-3647
(503) 691-1670
Mailing address
6485 SW BORLAND RD, SUITE D, TUALATIN, OR 97062-9762
(503) 692-3647
(503) 691-1670
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
23386
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
181643
—
OR
Enumeration date
11/02/2005
Last updated
10/02/2007
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