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Individual

BEN MURPHY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMT

Contact information

Practice address
322 NW 5TH AVE, PORTLAND, OR 97209
(805) 358-4951
Mailing address
5905 N HUDSON ST, PORTLAND, OR 97203-2606
(805) 358-4951

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
19338
OR

Other

Enumeration date
09/09/2016
Last updated
09/25/2018
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