Individual
MR. BENJAMIN MICHAEL BERTRAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
301 4TH ST, LA GRANDE, OR 97850-1901
(541) 963-9340
(541) 962-4562
Mailing address
2508 E O AVE, LA GRANDE, OR 97850-3862
(541) 962-8483
(541) 963-4562
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4176
OR
Other
Enumeration date
11/18/2005
Last updated
01/17/2014
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