Individual
DR. JON LOUIS BENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY D
Contact information
Practice address
10000 SE MAIN ST, STE 215, PORTLAND, OR 97216-2442
(503) 252-9690
(503) 252-2720
Mailing address
10000 SE MAIN ST, STE 215, PORTLAND, OR 97216-2442
(503) 252-9690
(503) 252-2720
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1080
OR
Other
Enumeration date
11/28/2006
Last updated
07/08/2007
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