IndividualActive
Benjamin Bertrand, P.T.
NPI 1124000583 · Physical Therapist · La Grande, OR
Provider details
- NPI number
- 1124000583
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- P.T.
- Sex
- Male
- Sole proprietor
- No
- License
- 4176 (OR)
Practice location
301 4th St
La Grande, OR 97850-1901
Phone: (541) 963-9340
Fax: (541) 962-4562
Mailing address
2508 E O Ave
La Grande, OR 97850-3862
Registry dates
- Enumerated
- 2005-11-18
- Last updated
- 2014-01-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.