Organization Active NPI

Peter Bentson Inc.

  • Community/Behavioral Health Agency
  • Salem, OR
National Provider Identifier
1043339179
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
95-04-22 Issued in OR
Legal business name
PETER BENTSON INC.
Practice address
5680 Wallace Rd NW
Salem, OR 97304-9741
Phone
(503) 949-2461
NPI assigned
Mar 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Peter Ernest Bentson, MS, CADC III
Title
President
Phone
(503) 949-2461

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 95-04-22 OR Primary

Addresses

Primary practice location

5680 Wallace Rd NW
Salem, OR 97304-9741

Mailing address

5680 Wallace Rd NW
Salem, OR 97304-9741
Phone (503) 949-2461

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043339179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5680 WALLACE RD NW",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973049741",
            "telephone_number": "503-949-2461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5680 WALLACE RD NW",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973049741",
            "telephone_number": "503-949-2461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER BENTSON INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BENTSON",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "ERNEST",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-949-2461",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS, CADC III"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OR",
            "license": "95-04-22",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.