Ben Booher Do Llc | |
645 W Orchard Ave Hermiston OR 97838-1671 | |
(541) 289-4555 | |
(541) 289-4556 |
Full Name | Ben Booher Do Llc |
---|---|
Speciality | Internal Medicine |
Location | 645 W Orchard Ave, Hermiston, Oregon |
Authorized Official Name and Position | Ben W. Booher (PHYSICIAN) |
Authorized Official Contact | 5412894555 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Ben Booher Do Llc Po Box 53 Hermiston OR 97838 Ph: (541) 289-4555 | Ben Booher Do Llc 645 W Orchard Ave Hermiston OR 97838-1671 Ph: (541) 289-4555 |
NPI Number | 1366556466 |
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Provider Enumeration Date | 08/18/2006 |
Last Update Date | 12/31/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366556466 | NPI | - | NPPES |
287857 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | DO22832 (Oregon) | Primary |
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