Provider Demographics
NPI:1417838509
Name:COUNTY OF BENTON
Entity type:Organization
Organization Name:COUNTY OF BENTON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:GUERRERO
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:509-783-1451
Mailing Address - Street 1:7122 WEST OKANOGAN PLACE
Mailing Address - Street 2:SUITE B110
Mailing Address - City:KENNEWICK
Mailing Address - State:WA
Mailing Address - Zip Code:99336
Mailing Address - Country:US
Mailing Address - Phone:509-783-1451
Mailing Address - Fax:
Practice Address - Street 1:7122 WEST OKANOGAN PLACE
Practice Address - Street 2:SUITE B110
Practice Address - City:KENNEWICK
Practice Address - State:WA
Practice Address - Zip Code:99336
Practice Address - Country:US
Practice Address - Phone:509-783-1451
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-08
Last Update Date:2025-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes173000000XOther Service ProvidersLegal MedicineGroup - Single Specialty