Individual
BENJAMIN BRUNO BARSOTTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2500 NE NEFF RD, BEND, OR 97701-6015
(541) 706-6892
(541) 706-6813
Mailing address
PO BOX 6095, BEND, OR 97708-6095
(541) 706-5922
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
73175-20
WI
208000000X
Pediatrics Physician
C7000-3519
DE
208000000X
Pediatrics Physician
Primary
MD209213
OR
208000000X
Pediatrics Physician
MD60085554
WA
208000000X
Pediatrics Physician
MT 189428
PA
2083C0008X
Clinical Informatics Physician
73175-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0251413
LABOR AND INDUSTRIES
WA
05
—
8543779
—
WA
Enumeration date
03/07/2007
Last updated
10/07/2024
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