Individual
DR. SEAN A BENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8916
(503) 494-0294
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8916
(503) 494-0294
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D7685
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01887
—
OR
Enumeration date
08/01/2005
Last updated
07/03/2019
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