Healthcare Provider Details

I. General information

NPI: 1871402289
Provider Name (Legal Business Name): MELISSA BENSINK, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2700 SE 26TH AVE STE D
PORTLAND OR
97202-1288
US

IV. Provider business mailing address

2700 SE 26TH AVE STE D
PORTLAND OR
97202-1288
US

V. Phone/Fax

Practice location:
  • Phone: 541-497-1315
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MELISSA BENSINK
Title or Position: LCSW/OWNER
Credential: LCSW
Phone: 541-497-1315