# BENTON INTEGRATIVE HEALTH LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184572513
- **Authorized official:** LESA JOY BENTON NP (OWNER)
- **Authorized official phone:** (503) 954-6489

## Contact information

- **Practice address:** 819 SE MORRISON ST STE 140, PORTLAND, OR 97214-6309
- **Practice address phone:** (503) 954-6489
- **Mailing address:** 1718 NE 64TH AVE, PORTLAND, OR 97213-4732
- **Mailing address phone:** (971) 260-9075
- **Mailing address fax:** (833) 740-3744

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | — | NULL | Yes |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 03/20/2026
- **Last updated:** 06/14/2026
