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NPI Code Detail

MEDICARE: VALLEYVIEW INJURY & PHYSICAL MEDICINE, PC

MEDICARE: VALLEYVIEW INJURY & PHYSICAL MEDICINE, PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111NR0400XRehabilitation Chiropractor3626OR
2204D00000XNeuromusculoskeletal Medicine & OMM PhysicianDO19719OR
3363A00000XPhysician AssistantPA174721OR
4175F00000XNaturopath4006OR
5111NR0400XRehabilitation Chiropractor3347OR
6171100000XAcupuncturistAC161122OR
72083P0901XPublic Health & General Preventive Medicine Physician174809OR

General Provider Information

NPI Number : 1174997423
Entity Type Code : Organization
Provider Name (Legal Business Name) : VALLEYVIEW INJURY & PHYSICAL MEDICINE, PC
Provider Business Mailing Address
First Line : 13203 SE 172ND AVE STE 166
Second Line :
City : HAPPY VALLEY
State : OR
Zip : 97086-8738
Country : US
Telephone Number : 503-489-1998
Fax Number : 503-489-1975
Provider Business Practice Location Address
First Line : 2850 SE POWELL VALLEY RD
Second Line : SUITE 205
City : GRESHAM
State : OR
Zip : 97080-1494
Country : US
Telephone Number : 503-489-1998
Fax Number : 503-489-1975
Authorized Official
Title or Position : OWNER
Name : DR. BENJAMIN LEE HEATH
Credential : DC
Telephone Number : 503-484-6128
Provider Enumeration Date : 11/24/2015
Last Update Date : 01/14/2026

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