Individual provider · Type 1 NPI

Benjamin Michael Davidson

Student in an Organized Health Care Education/Training Program · Portland, OR

NPI number 1073345856 Active

Practice location

3036 NE Mlk Jr Blvd
Portland, OR 97212-3053

Call (503) 283-3763 Map

Mailing address

PO Box 8459
Portland, OR 97207-8459

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1073345856

Benjamin Michael Davidson's National Provider Identifier is 1073345856, issued on Aug 19, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Portland, OR. The record was last updated on Aug 19, 2024.