Mrs Jessica D Benedict, WHCNP | |
9701 Sw Barnes Rd, Suite 200, Portland, OR 97225-6772 | |
(503) 734-3700 | |
(503) 473-8462 |
Full Name | Mrs Jessica D Benedict |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Women's Health |
Location | 9701 Sw Barnes Rd, Portland, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740542919 | NPI | - | NPPES |
500645846 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LW0102X | Nurse Practitioner - Women's Health | 201250073NP (Oregon) | Primary |
Entity Name | Fanno Creek Clinic Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609876705 PECOS PAC ID: 0042100521 Enrollment ID: O20040318000244 |
Mailing Address | Practice Location Address |
---|---|
Mrs Jessica D Benedict, WHCNP 7650 Sw Beveland Rd, Suite 200, Portland, OR 97223-8692 Ph: (503) 734-3700 | Mrs Jessica D Benedict, WHCNP 9701 Sw Barnes Rd, Suite 200, Portland, OR 97225-6772 Ph: (503) 734-3700 |
Mrs. Anjalee Nix Rowe, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-3988 | |
Ms. Susan Irene Smith, RN, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5100 Sw Macadam Ave, Suite 200, Portland, OR 97239 Phone: 971-202-5500 Fax: 971-202-5555 | |
Iva Juric, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3181 Sw Sam Jackson Park Rd # Cdw6, Portland, OR 97239 Phone: 503-494-4808 | |
Ms. Jessica A Dudley, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3550 N Interstate Ave, Portland, OR 97227 Phone: 503-746-1575 | |
Summer Morgan Massina, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 721 Nw 9th Ave Ste 100, Portland, OR 97209 Phone: 503-525-0090 | |
Dr. Jeffery Wise, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1834 Nw 25th Ave Apt 504, Portland, OR 97210 Phone: 971-354-9242 | |
A'lissa Richards, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12121 E Burnside St, Portland, OR 97216 Phone: 971-361-7700 |