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NPI Code Detail

MEDICARE: MS. ELIZABETH BENJAMIN CD

MEDICARE:  MS. ELIZABETH  BENJAMIN  CD
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
1374J00000XDoulaOR

General Provider Information

NPI Number : 1497393201
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ELIZABETH BENJAMIN CD
Provider Business Mailing Address
First Line : 3015 NE 19TH AVE
Second Line :
City : PORTLAND
State : OR
Zip : 97212-3361
Country : US
Telephone Number : 971-409-3612
Fax Number :
Provider Business Practice Location Address
First Line : 3015 NE 19TH AVE
Second Line :
City : PORTLAND
State : OR
Zip : 97212-3361
Country : US
Telephone Number : 971-409-3612
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/12/2019
Last Update Date : 09/17/2025

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Directions to “ MS. ELIZABETH BENJAMIN CD” Practice Location

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