NICK BENAS (NPI# 1700204658) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700204658 |
| Entity Type | Individual |
| Full Name | NICK BENAS |
| Credential | QMHA |
| Practice Address |
2120 Exchange St Suite 301 Astoria OR 97103-3365 |
| Mailing Address |
1411 Exchange St 4 Astoria OR 97103-3847 |
| Practice Telephone | 5033250241 |
| Mailing Telephone | 5034404037 |
| Enumeration Date | 2014-03-28 |
| Last Update Date | 2014-03-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2120 EXCHANGE ST SUITE 301 |
| City | ASTORIA |
| State | OR |
| Zip Code | 97103-3365 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275515181 | Stacey Ann Agee | Nurse Practitioner | 2120 Exchange St, Suite 200, Astoria, OR 97103-3365 | 2005-11-16 |
| 1235595760 | Evergreen Prosthetics and Orthotics, LLC | Durable Medical Equipment & Medical Supplies | 2120 Exchange St, Suite 204, Astoria, OR 97103-3365 | 2016-01-13 |
| 1609243641 | Debra Kumm | Pharmacist | 2120 Exchange St, Suite 101, Astoria, OR 97103-3365 | 2015-08-25 |
| 1770975245 | Douglas Merle Garner | Case Manager/Care Coordinator | 2120 Exchange St, Astoria, OR 97103-3365 | 2015-02-20 |
| 1255720850 | Megan Stallter | Counselor | 2120 Exchange St, Astoria, OR 97103-3365 | 2015-01-20 |
| 1871997353 | Bonnie Charlotte Singman | Counselor | 2120 Exchange St, Ste. 301, Astoria, OR 97103-3365 | 2014-10-13 |
| 1790185734 | Jessica K Lawrence | Physical Therapy Assistant | 2120 Exchange St, Suite 104, Astoria, OR 97103-3366 | 2014-08-27 |
| 1568875193 | Laurel Payne | Psychiatry & Neurology | 2120 Exchange St, Astoria, OR 97103-3365 | 2014-06-11 |
| 1215367685 | Ladessa Marie Christensen | Nurse Practitioner | 2120 Exchange St, Suite 202, Astoria, OR 97103-3365 | 2013-11-20 |
| 1093003667 | Columbia Lutheran Charities | Pharmacy | 2120 Exchange St, Ste 101, Astoria, OR 97103-3365 | 2011-07-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730552845 | Kpg Oregon, LLC | Internal Medicine | 486 12th Street #200, Astoria, OR 97103 | 2015-11-11 |
| 1205239043 | Brittany Dawn Vigoren | Dental Hygienist | 433 30th St., Astoria, OR 97103 | 2014-10-08 |
| 1497188858 | Jennifer U Boggs | Counselor | 10 Pier 1 Ste 203, Astoria, OR 97103 | 2013-08-20 |
| 1780022046 | Judy J Curnow | Massage Therapist | 1 12th Street Suite 10, Astoria, OR 97103 | 2013-06-10 |
| 1659626612 | Megan Lampson | Physical Therapist | 646 16th Ave., Astoria, OR 97103 | 2012-07-16 |
| 1043580947 | Matthew Thomas Cassity | Physical Therapy Assistant | 646 16th St., Astoria, OR 97103 | 2012-01-09 |
| 1881975969 | Rebecca Nicole Roe | Contractor | 25 Whitebush Way, Astoria, OR 97103 | 2011-09-02 |
| 1346542214 | Michele Lynn Hart | Social Worker | 2120 Exchange, Astoria, OR 97103 | 2010-11-29 |
| 1447551197 | Barbara Ellen Arnold | Pharmacist | 3250 Leif Erickson Dr, Astoria, OR 97103 | 2010-11-11 |
| 1083915219 | Christina Louise Jones | Pharmacist | 3250 Lief Erickson Dr, Astoria, OR 97103 | 2010-11-04 |
| Find all providers in zip 97103 | ||||
| Taxonomy Code | 225400000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Rehabilitation Practitioner |
| A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295344125 | Alyssa Jane Gersony | Rehabilitation Practitioner | 3150 41st St Apt 4f, Astoria, NY 11103-3906 | 2020-07-27 |
| 1356371330 | Blailr Cocking | Rehabilitation Practitioner | 2120 Exchange St, Suite 104, Astoria, OR 97103-3365 | 2006-07-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023616422 | Joseph Gorecki | Rehabilitation Practitioner | 3303 S Bond Ave Bldg 115th, Portland, OR 97239-4501 | 2020-10-16 |
| 1992056857 | Beth W. Mantis | Rehabilitation Practitioner | 29544 Se Heiple Rd, Eagle Creek, OR 97022-9664 | 2012-10-01 |
| 1144556861 | Du Nguyen | Rehabilitation Practitioner | 283 Nw 182nd Ave, Beaverton, OR 97006-3413 | 2009-10-30 |
| 1235385139 | Maureen Benedict-lee | Rehabilitation Practitioner | 1636 Se Taylor St, Apt. 5, Portland, OR 97214-2678 | 2008-08-11 |
| 1124288840 | Donita Zoe Diamata | Rehabilitation Practitioner | 10150 Se Ankeny St Ste 201a, Portland, OR 97216-2369 | 2008-06-16 |
| 1518923200 | Paulette Ann Richards | Rehabilitation Practitioner | 24820 Paradise Drive, Junction City, OR 97448 | 2006-04-22 |
| 1427051259 | Lee Eugene Vranna | Rehabilitation Practitioner | 890 Oak St Se, Salem, OR 97301 | 2005-05-24 |
| 1275131682 | Suzanne Lynn Groth | Rehabilitation Practitioner | 3303 S Bond Ave, Portland, OR 97239-4501 | 2020-10-16 |
| 1174146948 | Shelly R Carlson | Rehabilitation Practitioner | 3723 Fairview Industrial Dr Se Ste 170, Salem, OR 97302-1174 | 2020-05-27 |
| 1699290072 | Jennifer Lynn Habada | Rehabilitation Practitioner | 4317 Ne Tillamook St, Portland, OR 97213-1315 | 2017-08-07 |
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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.