Individual
JEFFERY LEE BENTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3600 NW SAMARITAN DR, CORVALLIS, OR 97330-3737
(541) 768-5021
(541) 768-5179
Mailing address
3600 NW SAMARITAN DR, CORVALLIS, OR 97330-3737
(541) 768-5021
(541) 768-5179
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA130041
OR
363AM0700X
Medical Physician Assistant
PA130041
OR
Other
Enumeration date
10/06/2009
Last updated
10/08/2024
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