Provider Demographics
NPI:1083343610
Name:STOKES, BENJAMIN KEITH (DPT)
Entity Type:Individual
Prefix:DR
First Name:BENJAMIN
Middle Name:KEITH
Last Name:STOKES
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:673 SE 65TH PL
Mailing Address - Street 2:
Mailing Address - City:HILLSBORO
Mailing Address - State:OR
Mailing Address - Zip Code:97123-7633
Mailing Address - Country:US
Mailing Address - Phone:503-939-6796
Mailing Address - Fax:
Practice Address - Street 1:673 SE 65TH PL
Practice Address - Street 2:
Practice Address - City:HILLSBORO
Practice Address - State:OR
Practice Address - Zip Code:97123-7633
Practice Address - Country:US
Practice Address - Phone:503-939-6796
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-08
Last Update Date:2024-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist