Look up the most recent NPI and PECOS records

Christopher Benjamin

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

3181 SW Sam Jackson Park Rd, Portland, OR 97239-3011

PECOS Enrollment

Based on the most recent information from CMS, provider Christopher Benjamin is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1386915445
Provider Type
Individual
Full Name
Benjamin, Christopher
Credential
PA-C

Gender
Male
Sole Proprietor
No
Enumeration Date
1/21/2012
Last Updated
9/10/2021

Contact Information

Practice Location

3181 SW Sam Jackson Park Rd, Portland, OR 97239-3011

(503) 494-8562

(503) 494-6344

Mailing Location

3181 SW Sam Jackson Park Rd, Portland, OR 97239-3011

(503) 494-8562

(503) 494-6344

Provider Taxonomies

Code	Description	License
Code 363AM0700X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License PA164335 Oregon

Christopher Benjamin

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Lyman, Alissa

Eure, Ann Elizabeth

Eikamp, Mackenzie Jean

Walter, Molly Ann

Schell, Allison Lynn

Makarachi, Teardaad

Armstrong, Emily

Wheeler, Stacey Ann

Kjornes, Briana

Abbott, Matthew