Individual
DR. BENJAMIN J. MORASCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
3710 SW US VETERANS HOSPITAL RD, V3SATP, PORTLAND, OR 97239-2964
(503) 220-8262
Mailing address
3710 SW US VETERANS HOSPITAL RD, V3SATP, PORTLAND, OR 97239-2964
(503) 220-8262
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
1801
OR
103TB0200X
Cognitive & Behavioral Psychologist
1801
OR
103TC0700X
Clinical Psychologist
1801
OR
103TH0004X
Health Psychologist
1801
OR
Other
Enumeration date
10/25/2006
Last updated
11/01/2007
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