Search › Oregon › 175T00000X
Benjamin Broenen
NPI 1437831021 · on the registry since 2023
Practice
- Address
- 5019 Ne 102nd Ave Unit A
Portland, OR 97220 - Phone
- (971) 383-1220
- Organisation at this address
- Central City Concern, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 175T00000X
175T00000X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-08-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon