What is Moima Benjamin's NPI number?

The NPI number assigned to this healthcare provider is 1790590883, enumerated as a individual on February 7, 2025.

Where is the provider located?

The provider is located at 1631 SW COLUMBIA ST PORTLAND, OR 97201 and the phone number is (503) 231-2641.

What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

MOIMA BENJAMIN QMHA-R - NPI 1790590883 - Counselor in Portland, OR

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About Moima Benjamin Qmha-r NPPES

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

MOIMA BENJAMIN QMHA-R (NPI 1790590883) is an individual mental health provider in Portland, Oregon, licensed in Oregon (24-QHMA-R-5362) and active in the NPI registry since February 2025.

NPPES Registry Identity

NPI1790590883

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameMOIMA BENJAMINCredential: QMHA-R

Location Address1631 SW COLUMBIA STPortland, OR 97201-6025

Mailing Address211 Se Caruthers StPortland, OR 97214-4502 · (971) 217-9008 · Fax (971) 260-0355

Phone(503) 231-2641

Fax(503) 231-1654

Sole ProprietorNo

Enumeration DateFebruary 7, 2025

NPPES CertifiedFebruary 7, 2025

✔ NPI 1790590883 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in OR · 24-QHMA-R-5362

1631 SW COLUMBIA ST, Portland, OR 97201

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Other Providers at the Same Location NPPES 20

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

SUSAN ELMORE MD

Psychologist