Individual
DR. BENJAMIN PON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
12100 SE STEVENS CT, CLACKAMAS, OR 97086-4707
(800) 813-2000
(855) 524-5255
Mailing address
500 NE MULTNOMAH ST STE 100, PORTLAND, OR 97232-2031
(800) 813-2000
(855) 524-5255
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4479
OR
Other
Enumeration date
07/20/2019
Last updated
09/03/2025
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