Individual
BENJAMIN M WARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4805 NE GLISAN ST, PORTLAND, OR 97213-2933
(503) 215-2669
Mailing address
4805 NE GLISAN ST, PORTLAND, OR 97213-2933
(503) 215-2669
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD179142
OR
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
MD179142
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500712148
—
OR
Enumeration date
06/03/2014
Last updated
07/27/2021
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