Individual
DR. BENJAMIN ADAM NIELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
700 NE MULTNOMAH ST, SUITE 880, PORTLAND, OR 97232-2131
(503) 230-1234
(503) 239-7741
Mailing address
14938 SE STANHOPE RD, CLACKAMAS, OR 97015-5413
(503) 558-8428
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
D8379
OR
Other
Enumeration date
07/26/2006
Last updated
07/08/2007
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