THOMAS BENNETT

PORTLAND, OR
NPI1750177358
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  T-25-4907)
Enumeration Date2025-04-18
Last Update Date2025-04-18
Business Address
THOMAS BENNETT
1312 SW WASHINGTON ST
PORTLAND, OR 97205-2327
Phone number: 503-719-7985
Mailing Address
THOMAS BENNETT
1312 SW WASHINGTON ST
PORTLAND, OR 97205-2327
Phone number: 503-719-7985
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