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1134491145
SCOTT ADAM BENJAMIN
PORTLAND, OR
NPI
1134491145
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OR L6603)
Enumeration Date
2012-02-07
Last Update Date
2015-09-29
Business Address
-- SCOTT ADAM BENJAMIN LCSW
4829 SE STEELE ST
PORTLAND, OR 97206-5645
Phone number: 503-481-4067
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Mailing Address
-- SCOTT ADAM BENJAMIN LCSW
4829 SE STEELE ST
PORTLAND, OR 97206-5645
Phone number: 503-481-4067
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