Healthcare Provider Details

I. General information

NPI: 1417838509
Provider Name (Legal Business Name): COUNTY OF BENTON
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2025
Last Update Date: 09/08/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7122 WEST OKANOGAN PLACE SUITE B110
KENNEWICK WA
99336
US

IV. Provider business mailing address

7122 WEST OKANOGAN PLACE SUITE B110
KENNEWICK WA
99336
US

V. Phone/Fax

Practice location:
  • Phone: 509-783-1451
  • Fax:
Mailing address:
  • Phone: 509-783-1451
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code173000000X
TaxonomyLegal Medicine
License Number
License Number State

VIII. Authorized Official

Name: MR. ROBERT GUERRERO JR.
Title or Position: CHIEF
Credential:
Phone: 509-783-1451