Individual
MR. BENJAMIN DICRISTINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3550 SE WOODWARD ST, PORTLAND, OR 97202-1552
(503) 517-8663
Mailing address
3550 SE WOODWARD ST, PORTLAND, OR 97202-1552
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/06/2010
Last updated
01/06/2010
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