Individual
BENJAMIN HANBY STEWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12750 SE STARK ST BLDG E, PORTLAND, OR 97233-1539
(971) 347-3009
(971) 256-3277
Mailing address
1776 SW MADISON ST, PORTLAND, OR 97205-1715
(971) 386-2278
(503) 224-4494
Taxonomy
Speciality
Code
Description
License number
State
125J00000X
Dental Therapist
Primary
11-068-DHAT
AK
Other
Enumeration date
11/28/2011
Last updated
07/21/2022
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