NPI 1457837403

Miles S Bennett, CPO

Practitioner Prosthetist Portland, OR

Practice location

Address: 3710 SW US Veterans Hospital Rd, Portland, OR 97239-2964
Phone: (503) 220-8262
Fax: (503) 721-7917

Registered specialties (2)

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X

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Orthotist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X

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Registry record

NPI: 1457837403
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Jul 2018
Record last updated: 12 Jul 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.