Individual
DR. BRENT C BEENDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2600 CENTER ST NE, SALEM, OR 97301-2669
(503) 562-0479
Mailing address
3720 S BOND AVE UNIT 2406, PORTLAND, OR 97239-4577
(309) 648-5228
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD200833
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD200833
OREGON MEDICAL BOARD
OR
Enumeration date
05/12/2014
Last updated
06/11/2021
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