Benjamin Russell Smith (NPI# 1801184601, PAC ID# 6204079130) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1801184601 |
| PAC ID by PECOS | 6204079130 |
| Professional Enrollment ID | I20190111000439 |
| Full Name | Benjamin Russell Smith |
| Organization Legal Name | MULTNOMAH COUNTY |
| Address |
12710 Se Division Mid County Health Center Portland OR 97236-3134 |
| Phone Number | 5039883601 |
| Gender | M |
| Medical School | HARVARD MEDICAL SCHOOL |
| Graduation Year | 2010 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 6608771787 |
| Number of Group Practice Members | 81 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 380061 | PROVIDENCE PORTLAND MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 12710 Se Division, Mid County Health Center, Portland, OR 97236-3134 | 5039883601 | MULTNOMAH COUNTY |
| Organization Legal Name | MULTNOMAH COUNTY |
| Physicians | 94 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Evan Rian Johnson | Nurse Practitioner | Multnomah County | 900 N Lombard St, Portland, OR 97217-1346 |
| Renae Rykaczewski | Nurse Practitioner | Multnomah County | 600 Ne 8th St, Gresham, OR 97030-7317 |
| Ruth Saunders | Nurse Practitioner | Multnomah County | 3653 Se 34th Ave, Southeast Health Center, Portland, OR 97202-3034 |
| Kristin L Cummings | Nurse Practitioner | Multnomah County | 5329 Ne Martin Luther King Blvd, Northeast Health Center, Portland, OR 97212-3237 |
| Erin Es Higgins | Nurse Practitioner | Multnomah County | 425 Sw Stark St 3rd Floor, Communicable Disease Services Clinic, Portland, OR 97204-2347 |
| Anne T Daly | Nurse Practitioner | Multnomah County | 2020 Se 182nd Ave, Rockwood Health Center, Gresham, OR 97030 |
| Michael S Macveigh | Internal Medicine | Multnomah County | 421 Sw Oak St, Suite 210, Portland, OR 97204-1842 |
| Renata A Ackermann | Psychologist, Clinical | Multnomah County | 619 Nw 6th Ave, Portland, OR 97209-3964 |
| Carla C Radcliffe | Family Medicine | Multnomah County | 6736 Ne Killingsworth, La Clinica De Buena Salvd, Portland, OR 97218-3338 |
| Deane Charles De Fontes | Family Medicine | Multnomah County | 12710 Se Division, Mid County Health Center, Portland, OR 97236-3134 |
| Street Address |
12710 SE DIVISION MID COUNTY HEALTH CENTER |
| City | PORTLAND |
| State | OR |
| Zip | 97236-3134 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deane Charles De Fontes | Family Medicine | Multnomah County | 12710 Se Division, Mid County Health Center, Portland, OR 97236-3134 |
| Divneet Kaur | Family Medicine | Multnomah County | 12710 Se Division, Mid County Health Center, Portland, OR 97236-3134 |
| Filza Akhtar | Family Medicine | Multnomah County | 12710 Se Division, Mid County Health Center, Portland, OR 97236-3134 |
| Jennifer A Hernandez | Family Medicine | Multnomah County | 12710 Se Division, Mid County Health Center, Portland, OR 97236-3134 |
| Adam Hoverman | Family Medicine | Multnomah County | 12710 Se Division, Mid County Health Center, Portland, OR 97236-3134 |
| Dawn Mautner | Family Medicine | Multnomah County | 12710 Se Division, Mid County Health Center, Portland, OR 97236-3134 |
| Marilyn Sophia Hargett | Nurse Practitioner | Multnomah County | 12710 Se Division, Mid County Health Center, Portland, OR 97236-3134 |
| Neema Mohammad Nader | Nurse Practitioner | Multnomah County | 12710 Se Division, Mid County Health Center, Portland, OR 97236-3134 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Annaliese Hazlett | Clinical Social Worker | Lifeworks Nw | 17214 Se Division St, Portland, OR 97236-1282 |
| Aaron Amidei | Chiropractic | Associated Physicians Inc | 16742 Se Division St, Portland, OR 97236-1414 |
| Derrick Lensgraf | Chiropractic | Associated Physicians Inc | 16742 Se Division St, Portland, OR 97236-1414 |
| Dennis R Sullivan | Chiropractic | 3318 Se 156th Ave, Portland, OR 97236-2119 | |
| Eddy Mydouangchanh | Chiropractic | 14115 Se Division St, Portland, OR 97236-2628 | |
| Joseph Jungho An | Optometry | 2520 Se 145th Ave, Suite B, Portland, OR 97236-2671 | |
| Troy Kindy | Clinical Social Worker | 2710 Se 141st Ave, Unit 12, Portland, OR 97236-2976 | |
| David A Day | Chiropractic | 3758 Se 122nd Ave, Day Chiropractic, Portland, OR 97236-3405 | |
| Daniel P Sheets | Physical Therapy | Sheets Physical Therapy LLC | 15333 Se Ogden Dr, Portland, OR 97236-7860 |
| City | PORTLAND |
| Zip Code | 97236 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | PORTLAND + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Benjamin Russell Smith.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.