Organization
BENNETT W GARNER MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENNETT W GARNER MD (PHYSICIAN)
(503) 325-8868
Entity
Organization
Contact information
Practice address
10 PIER ONE, SUITE 306, ASTORIA, OR 97103
(503) 325-8868
(503) 325-9186
Mailing address
10 PIER ONE, SUITE 306, ASTORIA, OR 97103
(503) 325-8868
(503) 325-9186
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD21653
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1356352538
NATIONAL PROVIDER NUMBER
OR
Enumeration date
05/05/2008
Last updated
05/14/2008
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