Individual provider · Type 1 NPI
Shelby Leigh Bennett, PA
Medical Physician Assistant · Madras, OR
NPI number
1942074711
Active
Practice location
83 SW K St
Madras, OR 97741-1046
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA64972 (CA) |
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Medical Physician Assistant Primary | 363AM0700X | PA222574 (OR) |
Medical Physician Assistant: Definition to come...
Other medical physician assistant providers in Madras
About NPI 1942074711
Shelby Leigh Bennett, PA's National Provider Identifier is 1942074711, issued on Nov 13, 2023. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Madras, OR. The record was last updated on Dec 23, 2024.