Individual
BENJAMIN DAVID EHST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
9495 SW LOCUST ST STE A, PORTLAND, OR 97223-6683
(036) 369-0115
Mailing address
9495 SW LOCUST ST STE A, PORTLAND, OR 97223-6683
(036) 369-0115
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD27612
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
220415
JOHNS HOPKINS ID
MD
Enumeration date
02/07/2007
Last updated
06/03/2019
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