Individual
MR. DANIEL J BENTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2825 EAST BARNETT RD, MEDFORD, OR 97504-8332
(541) 789-6460
(541) 789-5538
Mailing address
2620 EAST BARNETT RD, SUITE H, MEDFORD, OR 97504-8383
(541) 789-4281
(541) 789-5538
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
363AM0700X
Medical Physician Assistant
Primary
PA161231
OR
Other
Enumeration date
06/05/2008
Last updated
08/19/2013
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