COREY D BENJAMIN CADC, CRM, QMHA
NPI 1104699099
Counselor - Addiction (Substance Use Disorder) in Beaverton, OR

Active since November 01, 2023
3800 SW CEDAR HILLS BLVD STE 170, BEAVERTON, OR 97005(503) 626-1800 Get Directions Write a Review

NPPES record last updated: November 28, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 17, 2024, Nov 1, 2023 (2 updates tracked since 2023).

About Corey D Benjamin Cadc, Crm, Qmha NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COREY D BENJAMIN CADC, CRM, QMHA (NPI 1104699099) is an individual addiction (substance use disorder) provider in Beaverton, Oregon, licensed in Oregon (T-22-2156) and active in the NPI registry since November 2023.

NPPES Registry Identity

NPI1104699099
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameCOREY D BENJAMINCredential: CADC, CRM, QMHA
Location Address3800 SW CEDAR HILLS BLVD STE 170Beaverton, OR 97005-2020
Mailing Address3800 Sw Cedar Hills Blvd Ste 170Beaverton, OR 97005-2020 · (503) 626-1800
Sole ProprietorYes
Enumeration DateNovember 1, 2023
Last NPPES UpdateNovember 28, 20242 updates tracked since enumeration
NPPES CertifiedNovember 28, 2024
NPI 1104699099 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in OR · T-22-2156
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 23-QMHA-R-4572 (OR)
Also ListedPeer SpecialistTaxonomy 175T00000X · License 23-CRM-2525 (OR)
3800 SW CEDAR HILLS BLVD STE 170, Beaverton, OR 97005

Other Identifiers 4

OtherT-22-2156OR · Mhacbo Cadc
Other23-CRM-2525OR · Mhacbo Crm
Medicaid500841524OR
Other23-QMHA-R-4572OR · Mhacbo Qmha

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Addiction (Substance Use Disorder))
3800 SW CEDAR HILLS BLVD STE 170
BEAVERTON, OR 97005
Counselor (Addiction (Substance Use Disorder))
3800 SW CEDAR HILLS BLVD STE 170
BEAVERTON, OR 97005
Counselor (Addiction (Substance Use Disorder))
3800 SW CEDAR HILLS BLVD STE 170
BEAVERTON, OR 97005
Counselor (Addiction (Substance Use Disorder))
3800 SW CEDAR HILLS BLVD STE 170
BEAVERTON, OR 97005
Counselor (Addiction (Substance Use Disorder))
3800 SW CEDAR HILLS BLVD STE 170
BEAVERTON, OR 97005
Counselor (Addiction (Substance Use Disorder))
3800 SW CEDAR HILLS BLVD STE 170
BEAVERTON, OR 97005
Counselor (Addiction (Substance Use Disorder))
3800 SW CEDAR HILLS BLVD STE 170
BEAVERTON, OR 97005
Counselor (Addiction (Substance Use Disorder))
3800 SW CEDAR HILLS BLVD STE 170
BEAVERTON, OR 97005

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Corey Benjamin's NPI number?

The NPI number for Corey Benjamin is 1104699099. It was assigned to this individual provider in the NPPES registry on November 1, 2023.

Where is Corey Benjamin located?

Corey Benjamin practices at 3800 SW Cedar Hills Blvd Ste 170, Beaverton, OR 97005. The listed phone number is (503) 626-1800.

What is Corey Benjamin's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Corey Benjamin was last updated on November 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.