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Carlos Thomas Benson Martinez
Peer Specialist in Beaverton, Oregon
NPI 1205477783

Carlos Thomas Benson Martinez is a Peer Specialist based in Milwaukie, OR. Carlos Thomas Benson Martinez practices in Beaverton, OR. The NPI Number for Carlos Thomas Benson Martinez is 1205477783 and holds a License No. THW000003795 (Oregon).

The current practice location address for Carlos Thomas Benson Martinez is 12655 Sw Center St Ste 100, Beaverton, OR and can be reached out via phone at 617-301-0447 and via fax at 503-828-3401. You can also correspond with Carlos Thomas Benson Martinez through the mailing address at 12577 SE RIVER RD APT 139, MILWAUKIE, OR - 97222-8007 (mailing address contact number: 617-301-0447).

Location: 12655 Sw Center St Ste 100, Beaverton, OR, 97222-8007
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205477783
Provider Name
Carlos Thomas Benson Martinez
Credential
Provider Entity Type
Individual
Gender
Male
Address
12655 Sw Center St Ste 100, Beaverton, OR, 97222-8007
Phone Number
617-301-0447
Fax Number
503-828-3401
Provider Enumeration Date
10/04/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
THW000003795 01 OR THW CERTIFICATION #
institution
Provider Business Practice Location Address Details
Address
12655 Sw Center St Ste 100
City
Beaverton
State
Oregon
Zip
97005-1600
Phone Number
617-301-0447
Fax Number
503-828-3401
person
Provider Business Mailing Address Details
Address
12577 Se River Rd Apt 139
City
Milwaukie
State
Oregon
Zip
97222-8007
Phone Number
617-301-0447
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
THW000003795 (Oregon)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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