1. Home
  2. Directory
  3. Oregon
  4. Portland
  5. Peer Specialist
  6. NPI Profile

BENJAMIN BROENEN
NPI 1437831021
Peer Specialist in Portland, OR

Active since August 02, 2023
5019 NE 102ND AVE UNIT A, PORTLAND, OR 97220(971) 383-1220 Get Directions Write a Review

NPPES record last updated: August 2, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Benjamin Broenen NPPES

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

BENJAMIN BROENEN (NPI 1437831021) is an individual peer specialist in Portland, Oregon, licensed in Oregon (23-CRM-2237) and active in the NPI registry since August 2023.

NPPES Registry Identity

NPI1437831021
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameBENJAMIN BROENEN
Location Address5019 NE 102ND AVE UNIT APortland, OR 97220-1199
Mailing Address232 Nw 6th AvePortland, OR 97209-3609 · (503) 294-1681
Phone(971) 383-1220
Sole ProprietorNo
Enumeration DateAugust 2, 2023
NPPES CertifiedAugust 2, 2023
✔ NPI 1437831021 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License✔ Licensed in OR · 23-CRM-2237
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
5019 NE 102ND AVE UNIT A, Portland, OR 97220
Open in Google Maps ↗

Other Providers at the Same Location NPPES

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

ELIZABETH TATE
Peer Specialist
5019 NE 102ND AVE UNIT A
PORTLAND, OR 97220
Multnomah County (971) 383-1220

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 Benjamin Broenen's NPI number?

The NPI number for Benjamin Broenen is 1437831021. It was assigned to this individual provider in the NPPES registry on August 2, 2023.

Where is Benjamin Broenen located?

Benjamin Broenen practices at 5019 NE 102nd Ave Unit A, Portland, OR 97220. The listed phone number is (971) 383-1220.

What is Benjamin Broenen's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Benjamin Broenen was last updated on August 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.