Individual provider · Type 1 NPI

Benedict Mark M. Bunal, NP

Family Nurse Practitioner · Portland, OR

NPI number 1508580119 Active

Practice location

18633 SE Stark St Ste 401
Portland, OR 97233-5468

Mailing address

12045 SE 5th St
Vancouver, WA 98683-5214

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X2022013773 (WA)
Family Nurse Practitioner 363LF0000X202215281NP-PP (OR)

Family Nurse Practitioner: Definition to come...

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About NPI 1508580119

Benedict Mark M. Bunal, NP's National Provider Identifier is 1508580119, issued on Sep 27, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Portland, OR. The record was last updated on Sep 22, 2026.