Individual
BENJAMIN ALBERT BABB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9205 SW BARNES RD, PORTLAND, OR 97225
(503) 216-2906
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
55225
AZ
207R00000X
Internal Medicine Physician
Primary
MD194930
OR
Other
Enumeration date
04/19/2016
Last updated
02/05/2021
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