Individual
SCOTT ADAM BENJAMIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
4829 SE STEELE ST, PORTLAND, OR 97206-5645
(503) 481-4067
Mailing address
4829 SE STEELE ST, PORTLAND, OR 97206-5645
(503) 481-4067
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L6603
OR
Other
Enumeration date
02/07/2012
Last updated
09/29/2015
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