MEDICARE: SARA BENSON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist

General Provider Information

NPI Number	:	1780320846
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARA BENSON

Provider Business Mailing Address
First Line	:	25117 SW PARKWAY AVE STE D
Second Line	:
City	:	WILSONVILLE
State	:	OR
Zip	:	97070-9697
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2417 UNIVERSITY DR N UNIT B
Second Line	:
City	:	FARGO
State	:	ND
Zip	:	58102-1820
Country	:	US
Telephone Number	:	701-227-7999
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/10/2022
Last Update Date	:	05/26/2026

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Directions to “ SARA BENSON ” Practice Location

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