person
Benjamin Broenen
Peer Specialist in Portland, Oregon
NPI 1437831021

Benjamin Broenen is a Peer Specialist based in Portland, OR. Benjamin Broenen practices in Portland, OR. The NPI Number for Benjamin Broenen is 1437831021 and holds a License No. 23-CRM-2237 (Oregon).

The current practice location address for Benjamin Broenen is 5019 Ne 102Nd Ave Unit A, Portland, OR and can be reached out via phone at 971-383-1220.

Location: 5019 Ne 102Nd Ave Unit A, Portland, OR, 97209-3609
person
Provider Profile Details
NPI Number
1437831021
Provider Name
Benjamin Broenen
Credential
Provider Entity Type
Individual
Gender
Male
Address
5019 Ne 102Nd Ave Unit A, Portland, OR, 97209-3609
Phone Number
971-383-1220
Fax Number
Provider Enumeration Date
08/02/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5019 Ne 102Nd Ave Unit A
City
State
Zip
97220-1199
Phone Number
971-383-1220
Fax Number
person
Provider Business Mailing Address Details
Address
5019 Ne 102Nd Ave Unit A
City
State
Zip
97220-1199
Phone Number
971-383-1220
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
23-CRM-2237 (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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