Individual
NATHAN BENHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4134 MONROVIA WAY, KLAMATH FALLS, OR 97603-7748
(651) 387-9099
Mailing address
4134 MONROVIA WAY, KLAMATH FALLS, OR 97603-7748
(651) 387-9099
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
A14350
OR
Other
Enumeration date
09/25/2023
Last updated
09/25/2023
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