Individual
CALEB BENJAMIN HENTGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2435 NE CUMULUS AVE STE A, MCMINNVILLE, OR 97128-8805
(503) 726-1614
(503) 434-6290
Mailing address
2435 NE CUMULUS AVE STE A, MCMINNVILLE, OR 97128-8805
(503) 472-6161
(503) 434-6290
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
DO215051
OR
208000000X
Pediatrics Physician
OK7475
OK
Other
Enumeration date
04/09/2018
Last updated
10/04/2023
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