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Individual

BENJAMIN DANIEL HOUSER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
9290 SE SUNNYBROOK BLVD STE 120, CLACKAMAS, OR 97015-6802
(503) 215-2110
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD190152
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500750079
OR
Enumeration date
08/15/2013
Last updated
04/02/2025
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