Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Benjamin Clark, CPO

Individual provider Orthotist · NPI 1770871113

Benjamin Clark, CPO is an Orthotist in Portland, Oregon. Registered with an NPI since 2011.

In the registry since
2011
Specialties on file
2
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Practice location Address checks out

17316 NE Halsey St
Portland, OR 97230-6026
Phone: (503) 257-6623
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthetist (primary) Taxonomy 224P00000X
Orthotist Taxonomy 222Z00000X

Record details

NPI number1770871113
Entity typeIndividual (Type 1)
GenderMale
Credentials CPO
Sole proprietorNo
NPI enumeratedJuly 19, 2011
Last updated in NPPESMarch 1, 2018
Mailing address17316 Ne Halsey St, Portland, OR 97230-6026

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