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Individual

SUZANNE BENORDEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
1310 COBURG ROAD #5, EUGENE, OR 97401-5200
(541) 345-7532
(541) 345-6692
Mailing address
1310 COBURG ROAD #5, EUGENE, OR 97401-5200
(541) 345-7532
(541) 345-6692

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2348
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
084171027
BCBS
OR
05
269669
OR
01
P00617746
RRMC
OR
Enumeration date
12/19/2005
Last updated
09/26/2008
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