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Individual

BENJAMIN BRIAN COPELAND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
REGISTERED ASSOCIATE

Contact information

Practice address
7320 SW HUNZIKER RD STE 204, PORTLAND, OR 97223-2301
(503) 862-9917
Mailing address
21065 SW STAFFORD RD, TUALATIN, OR 97062-8725
(503) 862-9917

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
R9167
OR
101YM0800X
Mental Health Counselor
Primary
R9167
OR

Other

Enumeration date
01/06/2021
Last updated
05/13/2024
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