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Contact Information

BENTON J DAVIDSON, MD
1174 CORNUCOPIA ST NW
SUITE 240
SALEM, OR97304-3193
 Phone: 503-385-1664
 Fax: 503-991-5768
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurology

2084N0400X 13 Physician/Neurology
 

Clinical Neurophysiology

2084N0600X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for BENTON J DAVIDSON · (Male)

NPI Number 1013944016
Status Active
Credentials MD
Entity Individual
Enumeration date 06/26/2006
Last updated 03/28/2012 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • OR License # MD21643
  • OR Medicaid 288103
Hospital affiliation(s) Not Available
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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