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Organization
PSYCHE IN SOPRANO
Active
Organization
PSYCHE IN SOPRANO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AKEELA BENSON PMHNP-BC, FNP-C (NURSE PRACTITIONER)
(619) 877-9388
Entity
Organization
Contact information
Practice address
555 SE MARTIN LUTHER KING BLVD, SUITE 2033, PORTLAND, OR 97214-2595
(619) 877-9388
Mailing address
555 SE MARTIN LUTHER KING BLVD STE 105, PORTLAND, OR 97214-2595
(619) 877-9388
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
06/24/2026
Last updated
06/24/2026
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