Healthcare Provider Details

I. General information

NPI: 1689979734
Provider Name (Legal Business Name): JULEE PORTNER SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JULEE BENZAKEN SLP

II. Dates (important events)

Enumeration Date: 01/21/2011
Last Update Date: 09/12/2025
Certification Date: 09/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3150 MONSARRAT AVE STE 200
HONOLULU HI
96815-4488
US

IV. Provider business mailing address

3150 MONSARRAT AVE STE 200
HONOLULU HI
96815-4488
US

V. Phone/Fax

Practice location:
  • Phone: 808-735-4451
  • Fax:
Mailing address:
  • Phone: 808-735-5541
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number16491
License Number StateHI
# 2
Primary TaxonomyN
Taxonomy Code174N00000X
TaxonomyLactation Consultant (Non-RN)
License NumberL042287
License Number State
# 3
Primary TaxonomyN
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSP-505
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: