person
Benjamin D Randolph, CADCIII
Addiction (Substance Use Disorder) Counselor in Milwaukie, Oregon
NPI 1225252612

Benjamin D Randolph is an Addiction (Substance Use Disorder) Counselor based in Milwaukie, OR and is specialized in Addiction (Substance Use Disorder). Benjamin D Randolph practices in Milwaukie, OR and has the professional credentials of CADCIII. The NPI Number for Benjamin D Randolph is 1225252612 and holds a License No. 06-07-75U (Oregon).

The current practice location address for Benjamin D Randolph is 10600 Se Mcloughlin Blvd Ste 207, Milwaukie, OR and can be reached out via phone at 503-901-1836 and via fax at 503-654-1852. You can also correspond with Benjamin D Randolph through the mailing address at 10600 SE MCLOUGHLIN BLVD STE 207, MILWAUKIE, OR - 97222-7428 (mailing address contact number: 503-901-1836).

Location: 10600 Se Mcloughlin Blvd Ste 207, Milwaukie, OR, 97222-7428
person
Provider Profile Details
NPI Number
1225252612
Provider Name
Benjamin D Randolph
Credential
CADCIII
Provider Entity Type
Individual
Gender
Male
Address
10600 Se Mcloughlin Blvd Ste 207, Milwaukie, OR, 97222-7428
Phone Number
503-901-1836
Fax Number
503-654-1852
Provider Enumeration Date
04/13/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
10600 Se Mcloughlin Blvd Ste 207
City
State
Zip
97222-7428
Phone Number
503-901-1836
Fax Number
503-654-1852
person
Provider Business Mailing Address Details
Address
10600 Se Mcloughlin Blvd Ste 207
City
State
Zip
97222-7428
Phone Number
503-901-1836
Fax Number
503-654-1852
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
06-07-75U (Oregon)
Definition
Definition to come...
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