Individual provider · Type 1 NPI

Clark Forbes Benight

Mental Health Counselor · Portland, OR

NPI number 1700656543 Active

Practice location

17640 NE Halsey St
Portland, OR 97230-6733

Fax (034) 895-6385

Mailing address

3587 Heathrow Way
Medford, OR 97504-4004

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1700656543

Clark Forbes Benight's National Provider Identifier is 1700656543, issued on Jan 3, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Apr 4, 2024.