Individual
MS. SHARON LOUISE BENJAMIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
2724 HARVEST CT, FOREST GROVE, OR 97116
(541) 292-0434
(503) 941-5114
Mailing address
2724 HARVEST CT, FOREST GROVE, OR 97116
(541) 292-0434
(503) 941-5114
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
201150159
OR
363LA2200X
Adult Health Nurse Practitioner
Primary
201150159NP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500653197
—
OR
Enumeration date
10/25/2012
Last updated
03/07/2023
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