Individual
MATTHEW BENEDICT JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
1150 NW QUIMBY ST UNIT 238, PORTLAND, OR 97209-2488
(503) 258-7495
Mailing address
1150 NW QUIMBY ST UNIT 238, PORTLAND, OR 97209-2488
(503) 258-7495
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201503689NP-PP
OR
363LF0000X
Family Nurse Practitioner
Primary
F339389
NY
Other
Enumeration date
05/01/2015
Last updated
06/30/2026
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