Individual
DR. BEN VIET LY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
1130 NW 22ND AVE STE 220, PORTLAND, OR 97210-2969
(503) 413-8988
(503) 413-5629
Mailing address
1130 NW 22ND AVE STE 220, PORTLAND, OR 97210-2969
(503) 413-8988
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD162402
OR
Other
Enumeration date
03/19/2010
Last updated
11/14/2013
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