Individual
DR. BENJAMIN EDWARD ORWOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
700 SW CAMPUS DR, PORTLAND, OR 97239-3107
(503) 418-5800
Mailing address
3181 SW SAM JACKSON PARK RD, BICC BLDG, 5TH FLOOR, PORTLAND, OR 97239-3011
(503) 418-5800
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
A117720
CA
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
MD177563
OR
2083C0008X
Clinical Informatics Physician
MD177563
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/06/2010
Last updated
03/17/2018
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