NPI 1730563115 · live from the CMS NPI Registry
Joseph Benach, Psy.D.
Psychologist, Clinical in Portland, OR. National Provider Identifier 1730563115, active.
NPI record
| NPI | 1730563115 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist, Clinical 103TC0700X |
| Practice location | 2505 Se 11th Ave Ste 218, Portland, OR 97202 |
| Practice phone | 520-999-0852 |
| Enumerated | July 15, 2015 |
| Last updated | November 6, 2022 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist, Clinical primary | 103TC0700X | 3441 (OR) |
| Psychologist, Clinical | 103TC0700X | 4465 (AZ) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.