Individual
BENJAMIN UNTERSEHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
2270 NE MCDANIEL LN, AVE #A, MCMINNVILLE, OR 97128-3247
(503) 472-2523
Mailing address
2270 NE MCDANIEL LN, AVE #A, MCMINNVILLE, OR 97128-3247
(503) 472-2523
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
101946
OR
Other
Enumeration date
10/20/2007
Last updated
10/20/2007
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