Organization
BEN BOOHER DO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEN W. BOOHER DO (PHYSICIAN)
(541) 289-4555
Entity
Organization
Contact information
Practice address
645 W ORCHARD AVE, HERMISTON, OR 97838-1671
(541) 289-4555
(541) 289-4556
Mailing address
PO BOX 53, HERMISTON, OR 97838
(541) 289-4555
(541) 289-4556
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DO22832
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
287857
—
OR
Enumeration date
08/18/2006
Last updated
12/31/2008
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