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 |
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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 |
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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 |