Individual
BENJAMIN RAJ ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
700 NE MULTNOMAH ST STE 275, PORTLAND, OR 97232-4103
(503) 729-1380
Mailing address
2057 N WILLAMETTE BLVD, PORTLAND, OR 97217-4404
(503) 686-0995
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
10004862
OR
Other
Enumeration date
02/27/2023
Last updated
02/27/2023
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