Benton J Davidson (NPI# 1013944016, PAC ID# 4486794104) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEUROLOGY.
| Nation Provider ID (NPI) | 1013944016 |
| PAC ID by PECOS | 4486794104 |
| Professional Enrollment ID | I20091210000466 |
| Full Name | Benton J Davidson |
| Address |
1174 Cornucopia St Nw Suite 240 Salem OR 97304-3193 |
| Phone Number | 5033851664 |
| Gender | M |
| Medical School | GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1988 |
| Primary Specialty | NEUROLOGY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 380051 | SALEM HOSPITAL |
| 381308 | WEST VALLEY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1174 Cornucopia St Nw, Suite 240, Salem, OR 97304-3193 | 5033851664 |
| Street Address |
1174 CORNUCOPIA ST NW SUITE 240 |
| City | SALEM |
| State | OR |
| Zip | 97304-3193 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Molly Rodden | Nurse Practitioner | Well Life Family Medicine LLC | 1174 Cornucopia St Nw, Suite 240, Salem, OR 97304-3193 |
| Timothy T Zuk | Family Medicine | Salem Clinic, PC | 1174 Cornucopia St Nw, Suite 120, Salem, OR 97304-3193 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Angela D Plowhead | Psychologist, Clinical | 1220 Goldcrest Ave Nw, Salem, OR 97304-2295 | |
| Mark Scherlie | Family Medicine | West Salem Family Practice and Associates LLC | 1275 Wallace Rd Nw, Salem, OR 97304-3007 |
| Katie Ester Tihanyi | Family Medicine | Primary Care West, P.C. | 1255 Wallace Rd Nw, Salem, OR 97304-3007 |
| James G Dyson | Chiropractic | 1295 Wallace Rd Nw, Advanced Chiropractic, Salem, OR 97304-3007 | |
| Paul G Weaver | Family Medicine | West Salem Family Practice and Associates LLC | 1275 Wallace Rd Nw, Salem, OR 97304-3007 |
| Eugene Yamaguchi | Family Medicine | West Salem Family Practice and Associates LLC | 1275 Wallace Rd Nw, Salem, OR 97304-3007 |
| Sarah Shrestha | Nurse Practitioner | West Salem Family Practice and Associates LLC | 1275 Wallace Rd Nw, Salem, OR 97304-3007 |
| Scott D Bean | Family Medicine | West Salem Family Practice and Associates LLC | 1275 Wallace Rd Nw, Salem, OR 97304-3007 |
| Heidi S Thomas | Internal Medicine | West Salem Family Practice and Associates LLC | 1275 Wallace Rd Nw, Salem, OR 97304-3007 |
| Amanda M Mehlhoff | Nurse Practitioner | West Salem Family Practice and Associates LLC | 1275 Wallace Rd Nw, Salem, OR 97304-3007 |
| Find all physicians in zip 97304 | |||
| City | SALEM |
| Zip Code | 97304 |
| Specialty | NEUROLOGY |
| City + Specialty | SALEM + NEUROLOGY |
Please comment or provide details below to improve the information on Benton J Davidson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.