NPI 1548759640

Kelly Lynn Benson

Practitioner Athletic Trainer Tillamook, OR

Practice location

Address: 610 Stillwell Ave, Tillamook, OR 97141-3752
Phone: (503) 842-9622
Fax: (503) 815-2643

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence N485722 (CA)

Other Specialist/Technologist providers in Oregon →

Registry record

NPI: 1548759640
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 May 2018
Record last updated: 3 May 2018

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.