Individual
NICOLE BENTHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
725 S WAHANNA RD STE 230, SEASIDE, OR 97138-7735
(503) 741-7060
Mailing address
PO BOX 783, ASTORIA, OR 97103-0783
(503) 791-4156
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201905533NP-PP
OR
Other
Enumeration date
07/26/2019
Last updated
09/25/2020
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