Organization Active NPI

Benton Integrative Health LLC

  • Adult Health Nurse Practitioner
  • Portland, OR
National Provider Identifier
1184572513
Registry record updated Jun 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
Legal business name
BENTON INTEGRATIVE HEALTH LLC
Practice address
819 SE Morrison St Ste 140
Portland, OR 97214-6309
Phone
(503) 954-6489
NPI assigned
Mar 20, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lesa Joy Benton, NPNPI 1922796077
Title
Owner
Phone
(503) 954-6489

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LA2200X Primary

Addresses

Primary practice location

819 SE Morrison St Ste 140
Portland, OR 97214-6309

Mailing address

1718 NE 64TH Ave
Portland, OR 97213-4732
Phone (971) 260-9075

Other practice location 1

9045 SW Barbur Blvd Ste 106
Portland, OR 97219-4027
Phone (503) 954-6489 ext. 46489

National Provider Directory

National Provider Directory

Locations

9045 SW Barbur Blvd
Ste 106
Portland, OR 97219
Phone 5039546489 ext. 46489

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1773964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781395200000",
    "number": "1184572513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1718 NE 64TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972134732",
            "telephone_number": "971-260-9075",
            "fax_number": "833-740-3744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 SE MORRISON ST STE 140",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972146309",
            "telephone_number": "503-954-6489"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9045 SW Barbur Blvd Ste 106",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972194027",
            "country_code": "US",
            "telephone_number": "503-954-6489 x46489",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BENTON INTEGRATIVE HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-20",
        "last_updated": "2026-06-14",
        "certification_date": "2026-06-14",
        "status": "A",
        "authorized_official_last_name": "BENTON",
        "authorized_official_first_name": "LESA",
        "authorized_official_middle_name": "JOY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-954-6489",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.

Verify at the official NPI Registry.