Individual
BEN KIGGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2330 NE SISKIYOU ST, PORTLAND, OR 97212-2471
(503) 963-7765
Mailing address
6315 SE 70TH AVE, PORTLAND, OR 97206-6537
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
372600000X
Adult Companion
—
—
Other
Enumeration date
08/20/2007
Last updated
08/20/2007
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