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NPI Code Detail

MEDICARE: BENJAMIN MOWERY WOODHOUSE SLP

MEDICARE: BENJAMIN MOWERY WOODHOUSE SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist18013OR

General Provider Information

NPI Number : 1407712391
Entity Type Code : Individual
Provider Name (Legal Business Name) : BENJAMIN MOWERY WOODHOUSE SLP
Provider Business Mailing Address
First Line : PO BOX 768
Second Line :
City : EUGENE
State : OR
Zip : 97440-0768
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 65 W 30TH AVE
Second Line :
City : EUGENE
State : OR
Zip : 97405-3485
Country : US
Telephone Number : 541-342-5901
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/05/2026
Last Update Date : 01/05/2026

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Directions to “ BENJAMIN MOWERY WOODHOUSE SLP” Practice Location

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