Individual
MS. WENDY L BENAGE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ATC/R
Contact information
Practice address
2200 NE NEFF RD, SUITE 2, BEND, OR 97701-4283
(541) 408-7298
(541) 382-1681
Mailing address
63363 MAJESTIC LOOP, BEND, OR 97701-8594
(541) 408-7298
(541) 382-1681
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
AT-AT-797132
OR
Other
Enumeration date
06/06/2006
Last updated
07/08/2007
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