Individual provider · Type 1 NPI

Moima Benjamin, QMHA-R

Mental Health Counselor · Portland, OR

NPI number 1790590883 Active

Practice location

1631 SW Columbia St
Portland, OR 97201-6025

Call (503) 231-2641 Map

Fax (503) 231-1654

Mailing address

211 SE Caruthers St
Portland, OR 97214-4502

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X24-QHMA-R-5362 (OR)

Mental Health Counselor: Definition to come...

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About NPI 1790590883

Moima Benjamin, QMHA-R's National Provider Identifier is 1790590883, issued on Feb 7, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Feb 7, 2025.