Individual
MR. BENJAMIN MARK COOMBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1790 W 11TH AVE STE 290, EUGENE, OR 97402-3759
(541) 686-1262
(541) 686-0359
Mailing address
2250 PATTERSON ST UNIT 37, EUGENE, OR 97405-2990
(541) 515-2777
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
OR
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/10/2012
Last updated
07/12/2012
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