Individual
BENJAMIN CHIMENTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
812 SE 48TH AVE, PORTLAND, OR 97215-1724
(971) 224-2838
Mailing address
812 SE 48TH AVE, PORTLAND, OR 97215-1724
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
60352
OR
Other
Enumeration date
11/03/2014
Last updated
11/03/2014
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