MEDICARE: LILA BENSKY LMSW, QMHP

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	104100000X	Social Worker		OR

General Provider Information

NPI Number	:	1972467736
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LILA BENSKY LMSW, QMHP

Provider Business Mailing Address
First Line	:	2334 SE 26TH AVE APT B
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97214-5572
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	30 NE MARTIN LUTHER KING JR BLVD
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97232-2941
Country	:	US
Telephone Number	:	503-232-1099
Fax Number	:

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

Provider Enumeration Date	:	12/15/2025
Last Update Date	:	12/15/2025

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