Individual
BENJAMIN FOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RRT
Contact information
Practice address
10180 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-8970
(503) 571-6091
Mailing address
1346 SW 13TH PL, TROUTDALE, OR 97060-1455
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
RT-P-10132140
OR
Other
Enumeration date
05/13/2010
Last updated
05/13/2010
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