Individual
BENJI HURSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2926 NE FLANDERS ST RM 3C, PORTLAND, OR 97232-3259
(971) 319-5458
Mailing address
2926 NE FLANDERS ST RM 3C, PORTLAND, OR 97232-3259
(971) 319-5458
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
R9267
OR
101YP2500X
Professional Counselor
—
OR
Other
Enumeration date
08/23/2023
Last updated
04/23/2025
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