Individual
DR. LISA A BENITEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N. D.
Contact information
Practice address
3231 SE 50TH AVE, PORTLAND, OR 97206-2248
(503) 775-4931
(503) 788-7285
Mailing address
3727 NE MARTIN LUTHER KING JR BLVD, PORTLAND, OR 97212-1112
(503) 775-4931
(503) 788-7285
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
1032
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
18162
—
OR
Enumeration date
01/08/2009
Last updated
03/25/2013
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