Individual
BENJAMIN GAMBEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1133 SW BALLINGER DR, GRANTS PASS, OR 97526-2705
(547) 659-6159
Mailing address
1133 SW BALLINGER DR, GRANTS PASS, OR 97526-2705
(541) 659-6159
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
25940
OR
Other
Enumeration date
08/29/2023
Last updated
08/29/2023
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