Individual
BENJAMIN HARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
314 EAST MAIN STREET, TALENT, OR 97540
(541) 210-5999
(541) 210-8725
Mailing address
8684 WAGNER CREEK RD, TALENT, OR 97540-7792
(541) 514-2879
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
27833
OR
Other
Enumeration date
08/16/2023
Last updated
08/16/2023
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