Individual
BENJAMIN LEE CALVERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1003 PROVIDENCE DR, SUITE 210, NEWBERG, OR 97132-7521
(503) 537-5900
(503) 537-5959
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD153937
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500636739
—
OR
01
—
P01287077
RR MEDICARE - PH&S
OR
Enumeration date
08/28/2008
Last updated
10/19/2020
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