BENJAMIN EVERETT

PORTLAND, OR
NPI1477193019
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: OR  10004622)
Additional Taxonomies163W00000X Registered Nurse
(Licence: IN  28220533A)
Enumeration Date2020-01-12
Last Update Date2023-02-14
Business Address
BENJAMIN EVERETT
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 503-494-7641
Mailing Address
BENJAMIN EVERETT
3181 SW SAM JACKSON PARK RD MAIL CODE SJH-2
PORTLAND, OR 97239
Phone number: 503-494-4910