BENJAMIN NELSON (NPI# 1053353904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053353904 |
| Entity Type | Individual |
| Full Name | BENJAMIN NELSON |
| Credential | MSPT, OCS |
| Practice Address |
4445 Sw Barbur Blvd Ste 204 Portland OR 97239-4047 |
| Mailing Address |
12849 Nw Cornell Rd Portland OR 97229-5813 |
| Practice Telephone | 5032353386 |
| Mailing Telephone | 5032086278 |
| Mailing Fax Number | 5032086276 |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2017-04-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | PT00009802 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
3833 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932698099 | Benjamin Nelson | Chiropractor | 250 Palm Coast Pkwy Ne Unit 504, Palm Coast, FL 32137-8288 | 2018-05-04 |
| 1134484876 | Benjamin Nelson | Respite Care | 4372 E Sack Dr, Phoenix, AZ 85050-3395 | 2012-07-09 |
| 1487157293 | Benjamin Rhett Nelson | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Blvd, Dallas, TX 75390-7201 | 2018-03-18 |
| 1558863464 | Benjamin Eric Nelson | Student in an Organized Health Care Education/Training Program | 7007 Powers Blvd, Parma, OH 44129-5437 | 2018-03-07 |
| 1942721279 | Benjamin Nelson | Counselor | 847 Ne 19th Ave Ste 100, Portland, OR 97232-2684 | 2017-06-27 |
| 1417477712 | Benjamin Nelson | Student in an Organized Health Care Education/Training Program | 984150 Nebraska Medical Center, Omaha, NE 68198-4150 | 2017-06-27 |
| 1609239664 | Benjamin Shaw Nelson | Surgery | 88 E Newton St, C515, Boston, MA 02118-2308 | 2016-03-29 |
| 1023375011 | Benjamin Jon Nelson | Urology | 1202 Driving Park Ave, Newark, NY 14513 | 2012-04-16 |
| 1245496520 | Benjamin Nelson | Pediatrics | 1 Boone Rd, Bremerton, WA 98312-1894 | 2008-08-06 |
| 1700088473 | Benjamin James Nelson | Registered Nurse | 6507 S Santa Fe Dr, Littleton, CO 80120-2910 | 2007-06-04 |
| Street Address |
4445 SW BARBUR BLVD STE 204 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97239-4047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558979468 | Elise Caitlin Esposito | Student in an Organized Health Care Education/Training Program | 3710 Sw U.S. Veterans Hospital Road, Dental Service P-3 Dent, Attn: Elise Esposito, Portland, OR 97239 | 2020-07-16 |
| 1750908844 | Will Cowan | Student in an Organized Health Care Education/Training Program | 455 Sw Us Veterans Hospital Road., Portland, OR 97239 | 2020-07-06 |
| 1881219657 | Desiree Baer | Licensed Vocational Nurse | Sw Us Veterans Hospital Rd, Portland, OR 97239 | 2020-06-08 |
| 1285266205 | Melissa Irene Wheeler | Registered Nurse | Uhs-8l, 3181 S.w. Sam Jackson Park Road, Portland, OR 97239 | 2020-02-07 |
| 1225687981 | Pheba Mariam Jones | Pharmacist | Ohsu Pharmacy At Chh Building 2, 3303 Sw Bond Ave Rm 1090, Portland, OR 97239 | 2019-09-05 |
| 1801448063 | Alice Huang Huang | Student in an Organized Health Care Education/Training Program | 3710 Sw Veterans Road, Portland, OR 97239 | 2019-07-09 |
| 1710446273 | Ellen Noreen Kessi | Social Worker | 3710 Sw Us Veterans Rd., Portland, OR 97239 | 2019-03-14 |
| 1508335704 | Jacqueline Marie Mular | Marriage & Family Therapist | 5550 Sw Macadam Suite 100, Portland, OR 97239 | 2018-11-16 |
| 1275030926 | Carly Elizabeth Dougher | Student in an Organized Health Care Education/Training Program | Ohsu, 3181 Sw Sam Jackson Park Rd., Portland, OR 97239 | 2018-04-10 |
| 1780188094 | Dennis John Samuel | Student in an Organized Health Care Education/Training Program | Ohsu, 3181 Sw Sam Jackson Park Rd. L-579, Portland, OR 97239 | 2018-03-21 |
| Find all providers in zip 97239 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578170411 | Mind Body Therapy | Physical Therapist | 11959 Sw Garden Pl, Portland, OR 97223-8249 | 2020-09-24 |
| 1306324538 | Kristin Connor Messing | Physical Therapist | 4805 Ne Glisan St, Prov Hall 7e06, Portland, OR 97015 | 2018-07-31 |
| 1093204562 | Jessica Hund | Physical Therapist | 9385 Sw Greenburg Rd Ste 100, Portland, OR 97223-3200 | 2018-05-09 |
| 1659899151 | Mariel Hammond | Physical Therapist | 7522 N Lombard St, Portland, OR 97203-3235 | 2017-09-05 |
| 1437516515 | Caleb Joseph Wright | Physical Therapist | 8628 Se 17th Ave, Portland, OR 97202-0000 | 2016-01-20 |
| 1881840692 | Jennifer Lynne Davis | Physical Therapist | 7718 Se 13th Ave, Portland, OR 97202-6348 | 2008-08-12 |
| 1093977316 | Julie A Jacobson | Physical Therapist | 10428 Ne Pacific St, Portland, OR 97220-4028 | 2008-06-27 |
| 1427225606 | Kofoed Enteprises PC | Physical Therapist | 1020 Sw Taylor Street Suite 665, Portland, OR 97205-2529 | 2008-05-15 |
| 1770619595 | Shawn Patrick Cooney | Physical Therapist | 3108 Ne 181st Ave, Portland, OR 97230-6926 | 2007-02-26 |
| 1811039035 | Kevin A Schmidt | Physical Therapist | 2622 Se 25th Ave, Suite B, Portland, OR 97202-1217 | 2007-02-13 |
| Find all providers in PORTLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.