NPI 1366818908 · live from the CMS NPI Registry
Hailey Benjamin
Speech-Language Pathologist, in Mcminnville, OR. National Provider Identifier 1366818908, active.
NPI record
| NPI | 1366818908 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 2045 Sw Highway 18, Mcminnville, OR 97128 |
| Practice phone | 305-815-1744 |
| Mailing address | 3600 N Williams Ave Apt 303, Portland, OR 97227 |
| Enumerated | August 18, 2015 |
| Last updated | May 7, 2024 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | 016422 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.