Individual
BENJAMINA N. ROWE BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6327 SE MILWAUKIE AVE, PORTLAND, OR 97202-5418
(503) 659-4988
Mailing address
PO BOX 22075, MILWAUKIE, OR 97269-2075
(503) 659-4777
(503) 652-5223
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
43593
OR
207Q00000X
Family Medicine Physician
Primary
C151947
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
272394
—
OR
01
—
338999000001
PROVIDENCE HEALTH PLANS
OR
01
—
43593
MEDICAL LICENSE
OR
Enumeration date
05/21/2007
Last updated
09/05/2024
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