MRS. JESSICA D BENEDICT WHCNP NPI 1740542919

NPI Information

  • NPI: 1740542919
  • Provider Name: MRS. JESSICA D BENEDICT, WHCNP
  • Classification: Nurse Practitioner - 363LW0102X
  • Specialization: Women's Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 9701 SW BARNES RD
    SUITE 200
    PORTLAND, OR
    ZIP 97225
  • Phone: (503) 734-3700

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NPI Details

MRS. Jessica D Benedict, WHCNP is a women's health nurse practitioner in Portland, OR with 13 years of experience. MRS. Jessica D Benedict, WHCNP NPI is 1740542919. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9701 SW BARNES RD
SUITE 200
PORTLAND, OR
ZIP 97225-772
Phone: (503) 734-3700
Fax: (503) 473-8462

The NPI 1740542919 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/13/2012 and was last updated on 5/2/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LW0102XNurse PractitionerWomen's Health201250073NPOREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1500645846MEDICAIDOREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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