Benikova, Yanina M

Benikova, Yanina M is an individual health care provider with primary practice located at 19185 Sw 90Th Ave , Tualatin OR 97062-7558. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Benikova, Yanina M can be contacted via phone (503) 813-0377.

Contact Information

Primary practice address
19185 Sw 90Th Ave Tualatin OR 97062-7558
Phone: (503) 813-0377
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD00037323 Washington
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD21765 Oregon

Profile Details

NPI number 1538115597
LBN Legal business name Benikova, Yanina M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2006
Last updated Feb 4th, 2022 - about 4 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 1538115597 NPPES
Washington MEDICAID 8508681
Washington MEDICAID 133937

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