| Peter Bentson Inc. | |
|
5680 Wallace Rd Nw Salem OR 97304-9741 | |
| (503) 949-2461 | |
| Not Available |
| Full Name | Peter Bentson Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5680 Wallace Rd Nw, Salem, Oregon |
| Authorized Official Name and Position | Peter Ernest Bentson (PRESIDENT) |
| Authorized Official Contact | 5039492461 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peter Bentson Inc. 5680 Wallace Rd Nw Salem OR 97304-9741 Ph: (503) 949-2461 | Peter Bentson Inc. 5680 Wallace Rd Nw Salem OR 97304-9741 Ph: (503) 949-2461 |
| NPI Number | 1043339179 |
|---|---|
| Provider Enumeration Date | 03/28/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043339179 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 95-04-22 (Oregon) | Primary |
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