Individual
ELIZABETH BENSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
4212 SE DIVISION ST STE 100, PORTLAND, OR 97206-1680
(503) 238-0705
(503) 236-7166
Mailing address
PO BOX 8459, PORTLAND, OR 97207-8459
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/20/2019
Last updated
07/24/2024
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