Individual
DR. MATTHEW SCOTT BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
6850 N. LOMBARD, PORTLAND, OR 97203
(503) 240-2733
(503) 240-2724
Mailing address
6850 N. LOMBARD, PORTLAND, OR 97203
(503) 240-2733
(503) 240-2724
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0013307
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
RPH-0013307
OR
Other
Enumeration date
12/18/2012
Last updated
04/20/2017
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