| Caleb Benjamin Hentges, DO | |
| 2435 Ne Cumulus Ave Ste A, Mcminnville, OR 97128-8805 | |
| (503) 726-1614 | |
| (503) 434-6290 | 
| Full Name | Caleb Benjamin Hentges | 
|---|---|
| Gender | Male | 
| Speciality | Pediatrics | 
| Location | 2435 Ne Cumulus Ave Ste A, Mcminnville, Oregon | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1326545161 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208000000X | Pediatrics | OK7475 (Oklahoma) | Secondary | 
| 208000000X | Pediatrics | DO215051 (Oregon) | Primary | 
| Entity Name | Cherokee Nation | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1780692723 PECOS PAC ID: 5799698742 Enrollment ID: O20031106000628 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Caleb Benjamin Hentges, DO 2435 Ne Cumulus Ave Ste A, Mcminnville, OR 97128-8805 Ph: (503) 472-6161 | Caleb Benjamin Hentges, DO 2435 Ne Cumulus Ave Ste A, Mcminnville, OR 97128-8805 Ph: (503) 726-1614 | 
| Dr. Jennifer Nicole Green, D.O. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 2435 Ne Cumulus Ave., Ste A, Mcminnville, OR 97128 Phone: 503-434-8286 | |
| Brent Heimuller, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 2435 Ne Cumulus Ave Ste A, Mcminnville, OR 97128 Phone: 503-472-6161 Fax: 503-434-6290 | |
| Dr. Mary C Harbor, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2435 Ne Cumulus Ave Ste A, Mcminnville, OR 97128 Phone: 503-472-6161 Fax: 503-434-8486 | |
| Alan Paul Lucas, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 2700 Se Stratus Ave, Mcminnville, OR 97128 Phone: 503-435-6441 Fax: 503-435-6445 | |
| Mr. Kevin Glen Wherry, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 2435 Ne Cumulus Ave Ste A, Mcminnville, OR 97128 Phone: 503-472-6161 Fax: 503-434-6290 | |
| Dr. Maryalice Mcnamara, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 115 Ne May Ln, Mcminnville, OR 97128 Phone: 503-472-1338 |