Individual
BENJAMIN MICHAEL TRASK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4455 NE HIGHWAY 20, CORVALLIS, OR 97330-9695
(503) 234-9591
Mailing address
4455 NE HIGHWAY 20, CORVALLIS, OR 97330-9695
(541) 740-6981
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/07/2017
Last updated
08/07/2017
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