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Individual

PRINCESS BENDJOUYA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
17911 NW EVERGREEN PL, BEAVERTON, OR 97006-7438
(503) 239-8400
Mailing address
1027 E BURNSIDE ST, PORTLAND, OR 97214-1328
(503) 239-8400
(503) 239-8406

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
25-CRM-4405
OR

Other

Enumeration date
07/07/2026
Last updated
07/07/2026
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