BENJAMIN RYAN DECCIO

PORTLAND, OR
NPI1740941038
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2022-01-07
Last Update Date2022-01-07
Business Address
BENJAMIN RYAN DECCIO
847 NE 19TH AVE
PORTLAND, OR 97232-2684
Phone number: 503-238-0769
Mailing Address
BENJAMIN RYAN DECCIO
21901 S YEOMAN RD
BEAVERCREEK, OR 97004-9658
Phone number: 509-385-9344