Organization
BEMBENEK TRAVEL HEALTH WA
Active
Other names
Passport Health
Organization subpart
No
Provider details
NPI number
Authorized official
JUANA SLACK (MEDICAL BILLING SPECIALIST)
(480) 646-9086
Entity
Organization
Contact information
Practice address
9200 SE SUNNYBROOK BLVD, SUITE 101, CLACKAMAS, OR 97015
(877) 358-8648
(877) 877-6875
Mailing address
4343 EAST OUTLIER BLV., SUITE 100W, PHOENIX, AZ 85008-6507
(844) 358-8648
(877) 877-6875
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
02/15/2024
Last updated
04/02/2026
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