George W Bengtson MD

NPI 1003983487 - Pediatrics - 208000000X

NPI Details
NPI 1003983487
Gender Male
Enumeration Date 11/29/2006
Last Updated 10/28/2010
Entity Type Individual
Active Over 10 years ago
Practice Location
4212 NE BROADWAY ST
PORTLAND OR, 97213-1460, US
Phone (503) 249-8787
Fax
Business Location
4212 NE BROADWAY ST
PORTLAND OR, 97213-1460, US
Phone (503) 249-8787
Fax
Toxanomy
Taxonomy Code 208000000X
License State Oregon
License Number MD 17053
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According to our database, George W Bengtson MD NPI is 1003983487, taxonomy code is 208000000X and license number is MD 17053, license state is located at Oregon. George W Bengtson MD physically located at 4212 Ne Broadway St, Portland OR, 97213-1460. NPI Number George W Bengtson MD has the Individual type.

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1003983487 NPI number is provided on an as is basis without warranty of any kind. 1003983487 is maintained by the National Plan & Provider Enumeration System. The contents of George W Bengtson MD are for informational purposes only.