JORDAN LEVI BENNING

TIGARD, OR
NPI1235917261
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  T-23-2642)
Additional Taxonomies171M00000X Case Manager/Care Coordinator
Enumeration Date2023-09-20
Last Update Date2025-04-15
Business Address
JORDAN LEVI BENNING
10763 SW GREENBURG RD STE 100
TIGARD, OR 97223-5492
Phone number: 503-684-8159
Mailing Address
JORDAN LEVI BENNING
10763 SW GREENBURG RD STE 100
TIGARD, OR 97223-5492
Phone number: 503-684-8159