Active NPI
Bembenek Travel Health Wa
Doing business as Passport Health
- Community Health Worker
- Clackamas, OR
National Provider Identifier
1093570459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- Legal business name
- BEMBENEK TRAVEL HEALTH WA
- Doing business as
- Passport Health
- Practice address
- 9200 SE Sunnybrook Blvd
Suite 101
Clackamas, OR 97015 - Phone
- (877) 358-8648
- Fax
- (877) 877-6875
- NPI assigned
- Feb 15, 2024
- Last updated
- Apr 2, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Juana Slack
- Title
- Medical Billing Specialist
- Phone
- (480) 646-9086
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Primary |
Addresses
Primary practice location
9200 SE Sunnybrook Blvd
Suite 101
Clackamas, OR 97015
Mailing address
4343 East Outlier BLV.
Suite 100W
Phoenix, AZ 85008-6507
Phone (844) 358-8648
Other names 1
- Passport Health
National Provider Directory
National Provider Directory- Tax ID family
- Bembenek Travel Health Wa
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
Locations
9200 SE Sunnybrook Blvd
Ste 101
Clackamas, OR 97015
8383 NE Sandy Blvd
Ste 445
Portland, OR 97220
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707955200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1775088000000",
"number": "1093570459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4343 EAST OUTLIER BLV.",
"address_2": "SUITE 100W",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850086507",
"telephone_number": "844-358-8648",
"fax_number": "877-877-6875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9200 SE SUNNYBROOK BLVD",
"address_2": "SUITE 101",
"city": "CLACKAMAS",
"state": "OR",
"postal_code": "97015",
"telephone_number": "877-358-8648",
"fax_number": "877-877-6875"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BEMBENEK TRAVEL HEALTH WA",
"organizational_subpart": "NO",
"enumeration_date": "2024-02-15",
"last_updated": "2026-04-02",
"certification_date": "2026-04-02",
"status": "A",
"authorized_official_last_name": "SLACK",
"authorized_official_first_name": "JUANA",
"authorized_official_title_or_position": "MEDICAL BILLING SPECIALIST",
"authorized_official_telephone_number": "480-646-9086"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Passport Health",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Clackamas, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.