Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Benjamin Kelso

Individual provider Occupational Therapy Assistant · NPI 1093259152

Benjamin Kelso is an Occupational Therapy Assistant in Medford, Oregon. Licensed in Oregon. Registered with an NPI since 2016.

Licensed in
OR
In the registry since
2016

Practice location Address checks out

1200 Mira Mar Ave Ste 1
Medford, OR 97504-8588
Phone: (800) 848-7868
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 368677 (OR)

Record details

NPI number1093259152
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 8, 2016
Last updated in NPPESDecember 8, 2016
Mailing address4560 Se International Way Ste 100, Milwaukie, OR 97222-4628

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