BEN WYATT

PORTLAND, OR
NPI1033427216
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date2010-09-21
Last Update Date2010-09-21
Business Address
BEN WYATT
727 NE 24TH AVE
PORTLAND, OR 97232-2222
Phone number: 503-228-9229
Mailing Address
BEN WYATT
727 NE 24TH AVE
PORTLAND, OR 97232-2222
Phone number:
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