Individual
BENEDICT IGNATIUS CAUTHORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRM AND PSSC
Contact information
Practice address
401 NE BURNSIDE AVE, BEND, OR 97701-5122
(458) 201-1590
Mailing address
401 NE BURNSIDE AVE, BEND, OR 97701-5122
(458) 201-1590
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
24-CRM-3631
OR
Other
Enumeration date
09/21/2024
Last updated
09/21/2024
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