Benitez, Lisa A
Benitez, Lisa A is an individual health care provider with primary practice located at 3231 Se 50Th Ave , Portland OR 97206-2248. She recently has only one registered license in Other Service Providers / Naturopath, which is considered as her primary health care specialty. Benitez, Lisa A can be contacted via phone (503) 775-4931.Contact Information
Primary practice address
3231 Se 50Th Ave
Portland OR 97206-2248
Phone: (503) 775-4931
Fax: (503) 788-7285
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Naturopath | 175F00000X | 1032 | Oregon |
Profile Details
| NPI number | 1841437191 |
|---|---|
| LBN Legal business name | Benitez, Lisa A |
| Credentials | N. D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 8th, 2009 |
| Last updated | Mar 25th, 2013 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1841437191 | NPPES |
| Oregon | MEDICAID | 18162 |
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