Individual
BENJAMIN EICHENAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.M.T.
Contact information
Practice address
4031 SE HAWTHORNE BLVD, PORTLAND, OR 97214-5243
(503) 280-5665
(503) 280-5665
Mailing address
4031 SE HAWTHORNE BLVD, PORTLAND, OR 97214-5243
(503) 280-5665
(503) 280-5665
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
10315
OR
Other
Enumeration date
01/22/2009
Last updated
01/22/2009
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