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

Benjamin Michael Davidson

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1073345856

Benjamin Michael Davidson is a Student in an Organized Health Care Education/Training Program in Portland, Oregon. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

3036 NE Mlk Jr Blvd
Portland, OR 97212-3053
Phone: (503) 283-3763
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1073345856
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 19, 2024
Last updated in NPPESAugust 19, 2024
Certification dateAugust 19, 2024
Mailing addressPo Box 8459, Portland, OR 97207-8459

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