Most Relevant Information
Provider Data
NPI Number: | 1003065160 |
Provider Name: | MICHAEL ANN BENCHOFF MSW |
Entity Type: | Individual |
Taxonomy Code: | 101Y00000X |
Specialty: | Counselor |
License Number: |
Most Important Dates
Enumeration Date: | 09/15/2008 |
Last Updated: | 09/15/2008 |
Provider Practice Location
421 SW OAK STREET
SUITE 520
PORTLAND
OR
97204
Practice Location Phone/Fax
Phone: | 5039884949 |
Fax: |
Provider Mailing Location
3907 N. GANTENBEIN
PORTLAND
OR
972271418
Provider Mailing Phone/Fax
Phone: | 5038031784 |
Fax: |