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NPI Code Detail

MEDICARE: LIESL BENDA

MEDICARE: LIESL BENDA
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1790616993
Entity Type Code : Individual
Provider Name (Legal Business Name) : LIESL BENDA
Provider Business Mailing Address
First Line : 2275 FAIRMOUNT BLVD
Second Line :
City : EUGENE
State : OR
Zip : 97403-1783
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 200 MULLINS DR
Second Line :
City : LEBANON
State : OR
Zip : 97355-3983
Country : US
Telephone Number : 541-259-0200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2026
Last Update Date : 05/27/2026

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Directions to “ LIESL BENDA ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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