Individual
DR. BENJAMIN DEPASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
10225 SW HALL BLVD STE 104, TIGARD, OR 97223-8855
(503) 208-3579
Mailing address
3803 SE 65TH AVE, PORTLAND, OR 97206-3634
(503) 502-7219
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6407
OR
Other
Enumeration date
10/08/2024
Last updated
10/08/2024
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