MEDICARE: MICHELLE F BENOIT MD

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
1	207VX0201X	Gynecologic Oncology Physician	MD00047666	WA
2	207VX0201X	Gynecologic Oncology Physician	C192007	CA
3	207VX0201X	Gynecologic Oncology Physician	MD208267	OR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1831224369
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELLE F BENOIT MD

Provider Business Mailing Address
First Line	:	3181 SW SAM JACKSON PARK RD
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97239-3011
Country	:	US
Telephone Number	:	503-418-4500
Fax Number	:	503-494-4473

Provider Business Practice Location Address
First Line	:	1180 N INDIAN CANYON DR STE E218
Second Line	:
City	:	PALM SPRINGS
State	:	CA
Zip	:	92262-4885
Country	:	US
Telephone Number	:	760-323-6511
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/23/2007
Last Update Date	:	09/24/2024

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Directions to “ MICHELLE F BENOIT MD” Practice Location

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