Individual
RACHEL ROSE BENGTZEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, OHSU, PORTLAND, OR 97239-3011
(503) 494-3447
Mailing address
4411 SW VERMONT ST, PORTLAND, OR 97219-1020
(503) 494-9992
(503) 494-1967
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD154177
OR
207PS0010X
Sports Medicine (Emergency Medicine) Physician
MD154177
OR
Other
Enumeration date
05/29/2008
Last updated
02/03/2017
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