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Benjamin Smith, MD
General Practice Physician in Salem, Oregon
NPI 1538570874

Benjamin Smith is a General Practice Physician based in Salem, OR. Benjamin Smith practices in Salem, OR and has the professional credentials of MD. The NPI Number for Benjamin Smith is 1538570874 and holds a License No. 0101258753 (Oregon).

The current practice location address for Benjamin Smith is 2605 State St, Salem, OR and can be reached out via phone at 503-378-2453. You can also correspond with Benjamin Smith through the mailing address at OREGON STATE PENITENTIARY 2605, SALEM, OR - 97310-5000 (mailing address contact number: 503-378-2453).

Location: 2605 State St, Salem, OR, 97310-5000
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1538570874
Provider Name
Benjamin Smith
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2605 State St, Salem, OR, 97310-5000
Phone Number
503-378-2453
Fax Number
Provider Enumeration Date
05/08/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2605 State St
City
Salem
State
Oregon
Zip
97310-5000
Phone Number
503-378-2453
Fax Number
person
Provider Business Mailing Address Details
Address
2605 State St
City
Salem
State
Oregon
Zip
97310-5000
Phone Number
503-378-2453
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
171000000X
License No.
MD198549 (Oregon)
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
0101258753 (Virginia)
Definition
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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