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Contact Information

LESA J BENTON, NP
7477 SE 52ND AVE
PORTLAND, OR97206-8206
 Phone: 503-572-4196
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gerontology

363LG0600X 50 Nurse Practitioner
 

Adult Health

363LA2200X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for LESA J BENTON · (Female)

NPI Number 1922796077
Status Active
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 04/26/2023
Last updated 12/11/2023 - About 2 years ago
Sole proprietor 1 Yes
Identifiers
  • OR License # 10007097
  • WA License # AP61415533
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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