IndividualActive
Benneth Husted, D.O.
NPI 1972559409 · Geriatric Medicine (Family Medicine) Physician · Portland, OR
Provider details
- NPI number
- 1972559409
- Entity type
- Individual
- Primary specialty
- Geriatric Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Female
- Sole proprietor
- No
- License
- DO12837 (OR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
5100 Sw Macadam Ave
Suite 200
Portland, OR 97239-6102
Phone: (971) 202-5500
Fax: (971) 202-5555
Approximate (ZIP-level) locationGet directions
Mailing address
5100 Sw Macadam Ave
Portland, OR 97239-6102
Registry dates
- Enumerated
- 2006-05-26
- Last updated
- 2013-01-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.