1144334277 NPI number — MARIA BENITEZ STARR MSPT,OCS,FAAOMPT

Table of content: MARIA BENITEZ STARR MSPT,OCS,FAAOMPT (NPI 1144334277)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1144334277 NPI number — MARIA BENITEZ STARR MSPT,OCS,FAAOMPT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
STARR
Provider First Name:
MARIA
Provider Middle Name:
BENITEZ
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MSPT,OCS,FAAOMPT
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
BENITEZ
Provider Other First Name:
MARIA
Provider Other Middle Name:
MARGARET
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
MSPT
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1144334277
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/17/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
805 SW INDUSTRIAL WAY
Provider Second Line Business Mailing Address:
STE 3
Provider Business Mailing Address City Name:
BEND
Provider Business Mailing Address State Name:
OR
Provider Business Mailing Address Postal Code:
97702-1093
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
541-585-2541
Provider Business Mailing Address Fax Number:
541-585-2536

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1303 NE CUSHING DR
Provider Second Line Business Practice Location Address:
SUITE 150
Provider Business Practice Location Address City Name:
BEND
Provider Business Practice Location Address State Name:
OR
Provider Business Practice Location Address Postal Code:
97701-3891
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
541-382-7875
Provider Business Practice Location Address Fax Number:
541-382-2181
Provider Enumeration Date:
08/18/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 225100000X , with the licence number:  60802 , registered in the state of OR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 500684311 , issued by the state of ( OR ) . This identifiers is of the category "MEDICAID".




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