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Benjamin A. Root
School Counselor in Mcminnville, Oregon
NPI 1962752345

Benjamin A. Root is a School Counselor based in Mcminnville, OR and is specialized in School. Benjamin A. Root practices in Mcminnville, OR. The NPI Number for Benjamin A. Root is 1962752345 and holds a License No. (Oregon).

The current practice location address for Benjamin A. Root is 420 Ne 5Th St, Mcminnville, OR and can be reached out via phone at 503-434-7462.

Location: 420 Ne 5Th St, Mcminnville, OR, 97128-4603
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962752345
Provider Name
Benjamin A. Root
Credential
Provider Entity Type
Individual
Gender
Male
Address
420 Ne 5Th St, Mcminnville, OR, 97128-4603
Phone Number
503-434-7462
Fax Number
Provider Enumeration Date
09/13/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
420 Ne 5Th St
City
Mcminnville
State
Oregon
Zip
97128-4603
Phone Number
503-434-7462
Fax Number
person
Provider Business Mailing Address Details
Address
420 Ne 5Th St
City
Mcminnville
State
Oregon
Zip
97128-4603
Phone Number
503-434-7462
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...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
School
Taxonomy
101YS0200X
License No.
()
Definition
Definition to come...
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