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Contact Information

BENJAMIN L BRODY, MD
19500 SE STARK ST.
PORTLAND, OR97233
 Phone: 503-669-3900
 Fax: 503-669-3998
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for BENJAMIN L BRODY · (Male)

NPI Number 1245243799
Status Active
Credentials MD
Entity Individual
Enumeration date 08/15/2006
Last updated 02/04/2009 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • OR License # OR MD23966
Hospital affiliation(s)
  • LEGACY MERIDIAN PARK MEDICAL CENTER - (Acute Care)
    19300 SW 65TH AVENUE
    TUALATIN, OR 97062
  • SILVERTON HOSPITAL - (Acute Care)
    342 FAIRVIEW STREET
    SILVERTON, OR 97381
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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