Individual
DR. BENJAMIN ROBERT BURTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1909 MOUNTAIN VIEW LN STE 200, FOREST GROVE, OR 97116-2894
(503) 359-4773
Mailing address
1909 MOUNTAIN VIEW LN STE 200, FOREST GROVE, OR 97116-2894
(503) 359-4773
(503) 359-3809
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO171244
OR
207Q00000X
Family Medicine Physician
OP60798348
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DO171244
STATE MEDICAL BOARD
OR
01
—
OP60798348
WASHINGTON MEDICAL LICENSE
WA
Enumeration date
05/21/2012
Last updated
06/22/2023
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