ELEANOR ALICE BENECKI


Address: 426 Sw Stark St, 8th Floor, Portland, OR 97204-2347
Phone: 5039883674

ELEANOR ALICE BENECKI (NPI# 1588796486) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1588796486
Entity Type Individual
Full Name ELEANOR ALICE BENECKI
Credential PA
Practice Address 426 Sw Stark St
8th Floor
Portland
OR 97204-2347
Mailing Address 421 Sw Oak St
210
Portland
OR 97204-1817
Practice Telephone 5039883674
Practice Fax Number 5039883676
Mailing Telephone 5039883674
Mailing Fax Number 5039883676
Enumeration Date 2007-03-09
Last Update Date 2009-12-14
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant PA00311 OR Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 426 SW STARK ST
8TH FLOOR
City PORTLAND
State OR
Zip Code 97204-2347

Providers in the same location

NPI Name Taxonomy Address Enumeration
1730158890 Debby Parrish Pharmacist 426 Sw Stark St, 4th Floor, Portland, OR 97204-2347 2006-03-14
1619323102 Ebony Klinger Dental Hygienist 426 Sw Stark St, 9th Floor, Portland, OR 97204-2303 2016-05-13
1255720181 Aviel Forster Social Worker 426 Sw Stark St, 5th Floor, Portland, OR 97204-2303 2015-01-15
1518233766 Thomas Lucien Jeanne Preventive Medicine 426 Sw Stark St, 3rd Floor, Portland, OR 97204-2303 2012-03-31
1174813083 Julie Lueker Registered Nurse 426 Sw Stark St, Ste. 210, Portland, OR 97204-2347 2011-04-12
1326338674 Kathrine Segnitz Registered Nurse 426 Sw Stark St, 3rd Floor, Portland, OR 97204-2347 2011-04-07
1073802559 Teresa Blanshine Registered Nurse 426 Sw Stark St, 3rd Floor, Portland, OR 97204-2347 2011-04-05
1548559107 Mary Linn Registered Nurse 426 Sw Stark St, 3rd Floor, Portland, OR 97204-2347 2011-04-05
1861781346 Tuyet-anh Ann Tran Registered Nurse 426 Sw Stark St, Ste. 210, Portland, OR 97204-2347 2011-04-05
1124317649 Jennifer Tujo Registered Nurse 426 Sw Stark St, 3rd Floor, Portland, OR 97204-2347 2011-04-05
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1922662352 Sleep Management, L.L.C. Respiratory Therapist, Registered 1050 Sw 6th Avenue, Suite 1100 Office # 52, Portland, OR 97204 2019-05-01
1588178701 Daniel Hendrickson Pharmacist 503 Sw 5th Avenue, Portland, OR 97204 2017-11-27
1790133031 Modupe Desiree Bansile Counselor 209 Sw Fourth Ave, Suite 520, Portland, OR 97204 2016-05-26
1841655834 Isabella Zaragoza Counselor 421 Sw Oak St Suite 520, Portland, OR 97204 2015-12-18
1952737736 Hessler-cohen Enterprises LLC Acupuncturist 310 Sw 4rth Avenue, Suite 725, Portland, OR 97204 2013-09-24
1144583378 Angela Nicole Johnson Physical Therapist 555 Sw Oak Street, Portland, OR 97204 2012-06-22
1255614624 Jaclyn Rene Jones Nurse Practitioner 601 Sw 4th Ave, Portland, OR 97204 2011-09-22
1407148398 Cristianne Paulsen Dental Hygienist 426 Sw Stark, 9th Floor, Portland, OR 97204 2011-05-10
1396928255 Jessica L Hall Counselor 421 Sw Oak Street, Suite 520, Portland, OR 97204 2007-12-13
1699896274 Julie Anne Oyemaja Counselor 421 Sw Oak St., Ste. 210, Portland, OR 97204 2007-04-02
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1427676493 Lindsey Louise Peterson Physician Assistant 3505 N Williams Ave, Portland, OR 97227-1437 2020-07-07
1518584036 Abigail Nichole Dumont Physician Assistant 6064 Sw 30th Ave, Portland, OR 97239-1018 2020-06-30
1336769637 Molly Tanguay Physician Assistant 23 Bramhall St, Portland, ME 04102-3121 2020-04-16
1063040525 Jessica Nursick Physician Assistant 26 Sand Hill Rd, Portland, CT 06480-1737 2020-03-31
1689217630 Evan Eisher Physician Assistant 3809 Se Stephens St, Portland, OR 97214-5248 2019-10-22
1508407941 Amie Bates Physician Assistant 1040 Nw 22nd Ave # Ll030, Portland, OR 97210-3057 2019-10-07
1558923326 Mackenzie Graye Mcmillin Physician Assistant 1601 Congress St Ste 1, Portland, ME 04102-2145 2019-07-02
1447812268 Maksim Yefimov Physician Assistant 2800 N Vancouver Ave Ste 130, Portland, OR 97227 2019-07-01
1942794839 Michael Peterson Physician Assistant 3181 Sw Sam Jackson Park Rd # P31, Portland, OR 97239-3098 2018-06-14
1306383930 Rachel Lynn Witowski Physician Assistant 2124 Nw Hoyt St, Portland, OR 97210-3215 2017-01-20
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Competitor

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City PORTLAND
Zip Code 97204

Improve Information

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Dataset Information

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.

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