Individual
BENJAMIN BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
1027 NE 3RD ST, MCMINNVILLE, OR 97128-4417
(503) 472-2985
(503) 883-9165
Mailing address
PO BOX 87, MCMINNVILLE, OR 97128-0087
(503) 472-2985
(503) 883-9165
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
OR1731
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
125083
—
OR
Enumeration date
08/31/2006
Last updated
11/14/2012
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