BENJAMIN WANG

PORTLAND, OR
NPI1114488897
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: OR  MD211431)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
(Licence: OR  PG206452)
Enumeration Date2019-03-26
Last Update Date2023-03-09
Business Address
BENJAMIN WANG
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3098
Phone number: 503-494-8211
Mailing Address
BENJAMIN WANG
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3098
Phone number: 503-494-8211