IndividualActive
Lesa Benton, NP
NPI 1922796077 · Gerontology Nurse Practitioner · Portland, OR
Provider details
- NPI number
- 1922796077
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP
- Sex
- Female
- Sole proprietor
- Yes
- License
- AP61415533 (WA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
7477 Se 52nd Ave
Portland, OR 97206-8206
Phone: (503) 572-4196
Approximate (ZIP-level) locationGet directions
Mailing address
7477 Se 52nd Ave
Portland, OR 97206-8206
Registry dates
- Enumerated
- 2023-04-26
- Last updated
- 2023-12-11
- Certified
- 2023-10-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.