# BEN BOOHER DO LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366556466
- **Authorized official:** BEN W. BOOHER DO (PHYSICIAN)
- **Authorized official phone:** (541) 289-4555

## Contact information

- **Practice address:** 645 W ORCHARD AVE, HERMISTON, OR 97838-1671
- **Practice address phone:** (541) 289-4555
- **Practice address fax:** (541) 289-4556
- **Mailing address:** PO BOX 53, HERMISTON, OR 97838
- **Mailing address phone:** (541) 289-4555
- **Mailing address fax:** (541) 289-4556

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | DO22832 | OR | Yes |

## Other

- **Enumeration date:** 08/18/2006
- **Last updated:** 12/31/2008