George W Bengtson
Pediatrician
4212 Ne Broadway St
Portland
, Oregon 97213-1460
George W Bengtson
Pediatrician
4212 Ne Broadway St
Portland
, Oregon 97213-1460
(503) 249-8787
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About
Features
Specialties
- Pediatrician
Languages spoken
- English
Location
First Address
- George W Bengtson
- 4212 Ne Broadway St
- Portland, OR
- Zip : 97213-1460
- Phone : (503) 249-8787
Second Address
- George W Bengtson
- 4212 Ne Broadway St
- Portland, OR
- Zip : 97213-1460
- Phone : (503) 249-8787
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208000000X | Pediatrician | MD 17053 | OR |
National Provider Identifier
| NPI | 1003983487 |
|---|---|
| Provider Name | George W Bengtson |
| First Address | Portland, OR 97213-1460 |
| Second Address | Portland, OR 97213-1460 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/11/2006 |
| Last Update Date | 28/10/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 05926-6 | (05) | OR |
| F77463 | (02) | OR |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.