Individual
ALFRED BROOKE BENZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
727 S WAHANNA RD, SEASIDE, OR 97138-7735
(503) 717-7060
Mailing address
PO BOX 3397, PORTLAND, OR 97208-3397
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD14378
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142059
—
OR
Enumeration date
11/11/2005
Last updated
04/17/2019
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