NPI 1174280937

Ben David Bearden, IDHS

Practitioner Independent Duty Corpsman Astoria, OR

Practice location

Address: Base Tongue Point 37573 Hwy 30, Astoria, OR 97103
Phone: (256) 504-5209

Registered specialties

Independent Duty Corpsman Primary

Other Service Providers Taxonomy 1710I1002X

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Registry record

NPI: 1174280937
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Nov 2021
Record last updated: 29 Nov 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.