NPI 1952477424 · live from the CMS NPI Registry
Jon Louis Benson, Psy D
Psychologist in Portland, OR. National Provider Identifier 1952477424, active.
NPI record
| NPI | 1952477424 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist 103T00000X |
| Practice location | 10000 Se Main St, Ste 215, Portland, OR 97216 |
| Practice phone | 503-252-9690 |
| Enumerated | November 28, 2006 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist primary | 103T00000X | 1080 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.