Individual
HAILEY BENJAMIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2045 SW HIGHWAY 18, MCMINNVILLE, OR 97128-8622
(305) 815-1744
Mailing address
3600 N WILLIAMS AVE APT 303, PORTLAND, OR 97227-1487
(305) 815-1744
(305) 378-5772
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
016422
OR
Other
Enumeration date
08/18/2015
Last updated
05/07/2024
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