Individual
HAILEY BENEKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5330 NE PRESCOTT ST, PORTLAND, OR 97218-2158
(503) 288-6585
Mailing address
5209 HIGHLAND CENTER RD, BROOKVILLE, IN 47012-8017
(765) 698-7863
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
03/21/2023
Last updated
03/21/2023
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