Active NPI
Benjamin Turner Hickman, DNP, PMHNP-BC
- Registered Nurse
- Portland, OR
National Provider Identifier
1265213490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 10017235
- Practice address
- 3455 SW US Veterans Hospital Rd
Portland, OR 97239-3076 - Phone
- (901) 828-5575
- NPI assigned
- Oct 12, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 10017235 | OR | Primary |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 10017235 | OR |
Addresses
Primary practice location
3455 SW US Veterans Hospital Rd
Portland, OR 97239-3076
Mailing address
3455 SW US Veterans Hospital Rd
Portland, OR 97239-3076
Phone (901) 828-5575
Other practice location 1
205 SE Spokane St Ste 300
Portland, OR 97202-6487
Phone (503) 744-7186
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10017235 | OR | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1697068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785888000000",
"number": "1265213490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3455 SW US VETERANS HOSPITAL RD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972393076",
"telephone_number": "901-828-5575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3455 SW US VETERANS HOSPITAL RD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972393076",
"telephone_number": "901-828-5575"
}
],
"practiceLocations": [
{
"address_1": "205 SE Spokane St Ste 300",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972026487",
"country_code": "US",
"telephone_number": "503-744-7186",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HICKMAN",
"first_name": "BENJAMIN",
"middle_name": "TURNER",
"name_prefix": "Dr.",
"credential": "DNP, PMHNP-BC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-10-12",
"last_updated": "2026-08-05",
"certification_date": "2026-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OR",
"license": "10017235",
"primary": true
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "OR",
"license": "10017235",
"primary": false
}
],
"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 Aug 5, 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.