Individual
BRANDON BENJAMIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC, LMT
Contact information
Practice address
3024 NE 63RD AVE, PORTLAND, OR 97213-4510
(503) 893-8328
Mailing address
3024 NE 63RD AVE, PORTLAND, OR 97213-4510
(503) 893-8328
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC203200
OR
225700000X
Massage Therapist
17812
OR
Other
Enumeration date
04/25/2014
Last updated
05/13/2025
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