Individual
BENJAMIN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
10065 SW NIMBUS AVE, BEAVERTON, OR 97008-7177
(503) 992-6750
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
(423) 238-7217
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
65810
OR
Other
Enumeration date
08/13/2025
Last updated
08/13/2025
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