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Individual

BENJAMIN BOOHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
645 W ORCHARD AVE, HERMISTON, OR 97838-1671
(541) 289-4555
(541) 289-4556
Mailing address
645 W ORCHARD AVE, HERMISTON, OR 97838-1671
(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
04/18/2006
Last updated
07/08/2007
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