BENJAMIN EUGENE MANN

PORTLAND, OR
NPI1033807169
Professional NameBENJAMIN EUGENE MANN
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: OR  1033807169)
Enumeration Date2023-04-26
Last Update Date2025-04-10
Business Address
BENJAMIN EUGENE MANN
12636 SE STARK ST BLDG J125
PORTLAND, OR 97233-1058
Phone number: 503-253-4600
Mailing Address
BENJAMIN EUGENE MANN
12636 SE STARK ST BLDG J125
PORTLAND, OR 97233-1058
Phone number: 503-253-4600