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A BROOKE BENZ NPI 1154526341


NPI Information

NPI: 1154526341
Provider Name: A BROOKE BENZ

Doing Business As: BENZ BONE & JOINT CLINIC

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
1960 NW 167TH PL STE 205
BEAVERTON, OR
ZIP 97006
Phone: (503) 629-7500
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A BROOKE BENZ is a specialist in Beaverton, OR. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. A BROOKE BENZ NPI is 1154526341. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Benz Bone & Joint Clinic.

The provider's business location address is:

1960 NW 167TH PL STE 205
BEAVERTON, OR
ZIP 97006-804
Phone: (503) 629-7500
Fax: (503) 629-7505

The provider's authorized official is A Brooke Benz .
The authorized official title is Owner Physician & Surgeon and has the following contact phone number (503) 629-7500.

The enumeration date for this NPI number is 6/18/2007 and was last updated on 3/7/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistMD14378OREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1132578MEDICARE UPINOREGON
2132769MEDICARE ID-TYPE UNSPECIFIEDOREGON
3C92194MEDICARE UPINOREGON
4132448MEDICARE ID-TYPE UNSPECIFIEDOKLAHOMAMCA GROUP
5132449MEDICARE ID-TYPE UNSPECIFIEDOREGONMCA ID

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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