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Individual

BENJAMIN EUGENE MANN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
12636 SE STARK ST BLDG J125, PORTLAND, OR 97233-1058
(503) 253-4600
Mailing address
12636 SE STARK ST BLDG J125, PORTLAND, OR 97233-1058
(503) 253-4600

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1033807169
OR

Other

Enumeration date
04/26/2023
Last updated
04/10/2025
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