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Individual

DR. BENJAMIN ROBERT OLDSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
3680 NW SAMARITAN DR, CORVALLIS, OR 97330-3737
(541) 754-1282
Mailing address
444 NW ELKS DR, CORVALLIS, OR 97330-3758
(541) 754-1150

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
4451
IA
207Q00000X
Family Medicine Physician
Primary
DO179739
OR
208M00000X
Hospitalist Physician
4451
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500742034
OR
Enumeration date
05/04/2010
Last updated
04/05/2022
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