Organization
BACK TO LIFE LLC - BEN BOOHER DO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEN W. BOOHER DO (PHYSICIAN)
(541) 571-8201
Entity
Organization
Contact information
Practice address
4309 W. 27TH PL., SUITE 200, KENNEWICK, WA 99338
(509) 735-5433
(509) 735-5435
Mailing address
PO BOX 53, HERMISTON, OR 97838-0053
(541) 289-4555
(541) 289-4556
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OP1774
WA
Other
Enumeration date
08/18/2006
Last updated
07/21/2022
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