Individual
SYDNEY BENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
4805 NE GLISAN ST, PORTLAND, OR 97213-2933
(503) 215-3219
Mailing address
5614 NE MASON ST, PORTLAND, OR 97218-2253
(757) 816-0307
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC218812
OR
Other
Enumeration date
03/18/2024
Last updated
03/18/2024
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