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Individual

MS. MARY NEWGARD BENSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP

Contact information

Practice address
3710 SW US VETERANS HOSPITAL ROAD, PORTLAND, OR 97239
(503) 220-8262
(503) 220-8262
Mailing address
3710 SW US VETERANS HOSPITAL ROAD, PORTLAND, OR 97239
(503) 220-8262
(503) 220-8262

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
201250136NP
OR

Other

Enumeration date
10/15/2012
Last updated
07/22/2014
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