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1366890386
BENJAMIN HEARTY
CLACKAMAS, OR
NPI
1366890386
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OR PA185335)
Enumeration Date
2016-05-31
Last Update Date
2022-04-26
Business Address
Mr. BENJAMIN HEARTY PA-C
9290 SE SUNNYBROOK BLVD STE 120
CLACKAMAS, OR 97015-6802
Phone number: 503-215-2110
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Mailing Address
Mr. BENJAMIN HEARTY PA-C
PO BOX 3158
PORTLAND, OR 97208-3158
Phone number: 503-215-6494
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