BENJAMIN JACOB COLBURN

CLACKAMAS, OR
NPI1104357714
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Additional Taxonomies207Q00000X Family Medicine
(Licence: WA  MD61204134)
207Q00000X Family Medicine
(Licence: OR  MD191309)
Enumeration Date2017-03-24
Last Update Date2021-09-02
Business Address
Dr. BENJAMIN JACOB COLBURN MD
10100 SE SUNNYSIDE RD
CLACKAMAS, OR 97015-8970
Phone number: 503-494-8211
Mailing Address
Dr. BENJAMIN JACOB COLBURN MD
500 NE MULTNOMAH ST STE 100
PORTLAND, OR 97232-2031
Phone number: 503-494-8211