Individual
BENJAMIN HERRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
170 S 2ND ST STE 205, COOS BAY, OR 97420-1673
(541) 290-8696
(541) 808-2362
Mailing address
170 S 2ND ST STE 205, COOS BAY, OR 97420-1673
(541) 290-8696
(541) 808-2362
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
4430
OH
111NS0005X
Sports Physician Chiropractor
Primary
5122
OR
Other
Enumeration date
04/23/2014
Last updated
02/05/2024
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