Search › Oregon › 1041C0700X
Benjamin Fennimore, LCSW
NPI 1881094324 · on the registry since 2014 · sole proprietor
Practice
- Address
- 1787 State St
Salem, OR 97301 - Phone
- (503) 566-2132
- Clinicians at this address
- 10
Additional practice sites
- 2425 Lancaster Dr Ne, Salem, OR
- 494 State St Ste 270, Salem, OR
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 101YM0800X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-07-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon