Individual
DR. BENJAMIN LEE BRODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
19500 SE STARK ST., PORTLAND, OR 97233
(503) 669-3900
(503) 669-3998
Mailing address
19500 SE STARK ST., PORTLAND, OR 97233
(503) 669-3900
(503) 669-3998
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OR MD23966
OR
Other
Enumeration date
08/15/2006
Last updated
02/04/2009
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