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General NPI Number Information
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NPI Number | 1831224369
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Entity Type | Individual
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Provider Name | MICHELLE F BENOIT MD
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Gender | Female
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Dates
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Enumeration Date | 02/23/2007
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Last Update Date | 09/24/2024
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Provider Practice Location Address
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Address Line | 1180 N INDIAN CANYON DR STE E218
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City | PALM SPRINGS
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State | CA
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Zip | 92262-4885
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Country | US
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Telephone | 760-323-6511
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Fax |
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Provider Business Mailing Address
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Address Line | 3181 SW SAM JACKSON PARK RD
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City | PORTLAND
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State | OR
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Zip | 97239-3011
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Country | US
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Telephone | 503-418-4500
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Fax | 503-494-4473
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VX0201X
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Taxonomy Name | Gynecologic Oncology Physician
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License Number | MD00047666
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 207VX0201X
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Taxonomy Name | Gynecologic Oncology Physician
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License Number | C192007
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 207VX0201X
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Taxonomy Name | Gynecologic Oncology Physician
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License Number | MD208267
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License Number State | OR
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