Individual
TROY BENTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.M.T.
Contact information
Practice address
8083 SE 13TH AVE, SUITE 1, PORTLAND, OR 97202-6668
(269) 254-0037
Mailing address
8083 SE 13TH AVE, SUITE 1, PORTLAND, OR 97202-6668
(269) 254-0037
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
22075
OR
Other
Enumeration date
04/28/2016
Last updated
04/28/2016
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