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Individual

BENJAMIN HIMLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1500 NE IRVING ST, SUITE 250, PORTLAND, OR 97232-2243
(503) 233-4356
Mailing address
3609 SE 42ND AVE, APT #3, PORTLAND, OR 97206-3286
(509) 995-9291

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
03/15/2008
Last updated
03/15/2008
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