Individual
MR. KEN BENDAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC.
Contact information
Practice address
180 CLEAR CREEK DR STE 104, ASHLAND, OR 97520-1993
(541) 482-7071
Mailing address
180 CLEAR CREEK DR STE 104, ASHLAND, OR 97520-1993
(541) 482-7071
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
150
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20-4978106
FEDERAL TAX ID #
—
Enumeration date
04/07/2007
Last updated
03/02/2011
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