Individual
DR. BENJAMIN DANIEL WACHSMUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9800 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-9750
(503) 652-2880
Mailing address
4035 SE 65TH AVE, PORTLAND, OR 97206-3638
(503) 775-3477
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD27454
OR
Other
Enumeration date
06/22/2007
Last updated
02/04/2022
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