Benedict, Jessica D

Benedict, Jessica D is an individual health care provider with primary practice located at 9701 Sw Barnes Rd Suite 200, Portland OR 97225-6772. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Benedict, Jessica D can be contacted via phone (503) 734-3700.

Contact Information

Primary practice address
9701 Sw Barnes Rd Suite 200 Portland OR 97225-6772
Phone: (503) 734-3700
Fax: (503) 473-8462
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 201250073NP Oregon

Profile Details

NPI number 1740542919
LBN Legal business name Benedict, Jessica D
Credentials WHCNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2012
Last updated May 2nd, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740542919 NPPES
Oregon MEDICAID 500645846

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