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Individual

MS. NANCY ANN BENTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, CNS

Contact information

Practice address
3710 SW US VETERANS HOSPITAL RD, PORTLAND, OR 97239-2964
(503) 220-8262
Mailing address
5264 NE 121ST AVENUE, #48, VANCOUVER, WA 98682
(360) 904-0140

Taxonomy

Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
OR

Other

Enumeration date
06/26/2006
Last updated
07/08/2007
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