Andrene Benjamin, PMHNP, FNP
Nurse Practitioner, Psych/Mental Health in Portland, OR. Individual provider (NPI-1).
NPI number1164074456
StatusActive
Last updated in NPPESApr 9, 2026
Details
- NPI
- 1164074456
- Entity type
- Individual (NPI-1)
- Name
- Andrene Benjamin
- Credential
- PMHNP, FNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 16, 2019
- Certification date
- Apr 9, 2026
- Last updated
- Apr 9, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | 10031837 | OR | Yes |
| 363LF0000X | Nurse Practitioner, Family | NP95011901 | CA | |
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | AP61632738 | WA |
Practice location
310 Sw 4th Ave Unit 3-HPortland, OR 97204-2345
Phone 503-647-6501 · Fax 503-388-7702
Mailing address
306 Lincoln RdMiami Beach, FL 33139-3103
Other practice locations
1220 Main St Ste 455
Vancouver, WA 98660-2963
Vancouver, WA 98660-2963
Phone 503-647-6501 · Fax 503-388-7702
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