Individual
MR. BENJAMIN SKYLER DOTTERS-KATZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4311 E LOHMAN AVE, LAS CRUCES, NM 88011-8255
(541) 517-9622
Mailing address
181 W 22ND AVE, EUGENE, OR 97405-2813
(541) 517-9962
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1502660
DMV OREGON DEPARTMENT OF TRANSPORTATION (DRIVER'S LICENSE)
OR
Enumeration date
03/30/2023
Last updated
05/04/2023
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