Individual
MR. BENJAMIN JOHN HADLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3909 SE 70TH AVE, PORTLAND, OR 97206-2525
(503) 777-2278
Mailing address
3504 SE MADISON ST, PORTLAND, OR 97214-4255
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
OR
372600000X
Adult Companion
—
—
Other
Enumeration date
02/01/2007
Last updated
10/29/2007
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