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Benjamin David Peterson
Mental Health Counselor in Corvallis, Oregon
NPI 1083987903

Benjamin David Peterson is a Mental Health Counselor based in Portland, OR and is specialized in Mental Health. Benjamin David Peterson practices in Corvallis, OR. The NPI Number for Benjamin David Peterson is 1083987903 and holds a License No. (Oregon).

The current practice location address for Benjamin David Peterson is 4455 Ne Hw 20, Corvallis, OR and can be reached out via phone at 541-758-5900.

Location: 4455 Ne Hw 20, Corvallis, OR, 97202-3371
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083987903
Provider Name
Benjamin David Peterson
Credential
Provider Entity Type
Individual
Gender
Male
Address
4455 Ne Hw 20, Corvallis, OR, 97202-3371
Phone Number
541-758-5900
Fax Number
Provider Enumeration Date
02/23/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4455 Ne Hw 20
City
Corvallis
State
Oregon
Zip
97330
Phone Number
541-758-5900
Fax Number
person
Provider Business Mailing Address Details
Address
4455 Ne Hw 20
City
Corvallis
State
Oregon
Zip
97330
Phone Number
541-758-5900
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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