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Individual

DR. JOSEPH BENACH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PSY.D.

Contact information

Practice address
2505 SE 11TH AVE STE 218, PORTLAND, OR 97202-1062
(520) 999-0852
Mailing address
2505 SE 11TH AVE STE 218, PORTLAND, OR 97202-1062
(520) 999-0852
(971) 339-5258

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3441
OR
103TC0700X
Clinical Psychologist
4465
AZ

Other

Enumeration date
07/15/2015
Last updated
11/06/2022
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