Individual
BENJAMIN WENNDORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2355 STATE ST STE 101, SALEM, OR 97301-4541
(503) 544-2390
Mailing address
2355 STATE ST STE 101, SALEM, OR 97301-4541
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/24/2021
Last updated
02/28/2024
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