| Doctor Name: | SHARON LOUISE BENJAMIN |
| NPI Number: | 1013260181 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ANP |
| License Number: | 201150159 |
| Business Practice Address: | 3601 Sw Murray Blvd Beaverton, OR - 970052354 |
| Business Phone Number: | 5032152273 |
| Business Fax Number: | |
| Mailing Address: | 6410 Ne Halsey St, PORTLAND |
| State: | OR |
| Postal Code: | 972134742 |
| Phone Number: | 5032152273 |
| Fax Number: | |
| NPI Enumeration Date: | 10/25/2012 |
| NPI Last Update Date: | 10/25/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 201150159 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OR |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |