Individual
MRS. JAMIE BENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N., B.S.N.
Contact information
Practice address
15308 SE DIVISION ST, PORTLAND, OR 97236-2345
(503) 726-3790
Mailing address
10313 SW 69TH AVE, TIGARD, OR 97223-9103
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201140890RN
OR
Other
Enumeration date
08/29/2011
Last updated
08/29/2011
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