Individual
BENJAMIN COVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2200 NE NEFF RD STE 202, BEND, OR 97701-4281
(541) 388-7738
(541) 312-0121
Mailing address
16083 SW UPPER BOONES FERRY RD STE 300, TIGARD, OR 97224-7736
(503) 443-6156
(503) 639-9699
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
62976
OR
Other
Enumeration date
09/10/2018
Last updated
09/10/2018
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