Individual
DR. CAMERON BENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D. , M.S.C.
Contact information
Practice address
1015 NW 22ND AVE, PORTLAND, OR 97210-3025
(503) 413-8401
(503) 413-7361
Mailing address
3404 S WATER AVE, PORTLAND, OR 97239-4636
(503) 806-4124
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/18/2023
Last updated
05/18/2023
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