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General NPI Number Information
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NPI Number | 1851449201
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Entity Type | Individual
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Provider Name | DR. CHARITY JOY BENHAM
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Gender | Female
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Dates
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Enumeration Date | 01/08/2007
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Last Update Date | 07/18/2025
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Provider Practice Location Address
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Address Line | 2153 SW MAIN ST STE 102
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City | PORTLAND
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State | OR
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Zip | 97205-1124
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Country | US
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Telephone | 503-550-7139
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Fax | 503-537-7007
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Provider Business Mailing Address
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Address Line | 2153 SW MAIN ST STE 102
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City | PORTLAND
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State | OR
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Zip | 97205-1124
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Country | US
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Telephone | 503-550-7139
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Fax | 503-537-7007
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 1816
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License Number State | OR
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