Individual
DR. BENJAMIN DAVIS HACKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11000 SW STRATUS ST STE 310, BEAVERTON, OR 97008-7144
(503) 297-3778
(503) 297-7853
Mailing address
541 NE 20TH AVE STE 225, PORTLAND, OR 97232-2895
(503) 963-2801
(503) 963-2825
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
94-10607
KS
207RP1001X
Pulmonary Disease Physician
Primary
MD220746
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2291816
—
WA
05
—
500841944
—
OR
Enumeration date
04/05/2017
Last updated
05/15/2026
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