Individual
MR. BENJAMIN NOAH WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.ED
Contact information
Practice address
1103 NE 177TH AVE, PORTLAND, OR 97230-6319
(971) 240-7771
(971) 229-4072
Mailing address
1103 NE 177TH AVE, PORTLAND, OR 97230-6319
(971) 240-7771
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/22/2025
Last updated
07/22/2025
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