Individual
DR. BENJAMIN FRANCIS HUDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3640 NW SAMARITAN DR STE 100A, CORVALLIS, OR 97330-3784
(541) 768-5205
Mailing address
PO BOX 1189, CORVALLIS, OR 97339-1189
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
DO154717
OR
207RC0000X
Cardiovascular Disease Physician
Primary
DO154717
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DO154717
STATE LICENSE
OR
Enumeration date
07/15/2009
Last updated
07/10/2023
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