Benjamin, Sharon Louise

Benjamin, Sharon Louise is an individual health care provider with primary practice located at 2724 Harvest Ct , Forest Grove OR 97116. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Benjamin, Sharon Louise can be contacted via phone (541) 292-0434.

Contact Information

Primary practice address
2724 Harvest Ct Forest Grove OR 97116
Phone: (541) 292-0434
Fax: (503) 941-5114
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 201150159 Oregon
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 201150159NP Oregon

Profile Details

NPI number 1013260181
LBN Legal business name Benjamin, Sharon Louise
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2012
Last updated Mar 7th, 2023 - about last year

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 1013260181 NPPES
Oregon MEDICAID 500653197

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