Individual provider Active NPI

Benedict Mark M Bunal, NP

  • Family Nurse Practitioner
  • Portland, OR
National Provider Identifier
1508580119
Registry record updated Sep 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2022013773 Issued in WA
Practice address
18633 SE Stark St Ste 401
Portland, OR 97233-5468
Phone
(503) 489-1760
NPI assigned
Sep 27, 2022
Last updated
Sep 22, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2022013773 WA Primary
Family Nurse Practitioner 363LF0000X 202215281NP-PP OR

Addresses

Primary practice location

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

Mailing address

12045 SE 5TH St
Vancouver, WA 98683-5214
Phone (904) 763-6796

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, OR2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20231222002866 WA Practitioner - Nurse Practitioner 9032569587 Reassigns benefits to 4 organizations
I20250709001473 OR Practitioner - Nurse Practitioner 9032569587 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Corner Health Medical Group P aGroup PAC ID 5799223236, 36 clinicians
Cardiorenal Therapeutics of Washington, PLLCGroup PAC ID 7517379613, 5 clinicians

Practice addresses (Care Compare)

1201 2ND Ave
Suite 900
Seattle, WA 98101-3020
Phone (480) 530-6170

33530 1St Way S
Suite 44
Federal Way, WA 98003-7332
Phone (253) 414-6652

Merit-based Incentive Payment System (MIPS)

Final score
76.42 of 100Reported as apm
Quality
55.23
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Altea Medical Oregon LLC CurrentSince Jan 20, 2025 Accepting new patients
Corner Health Medical Group P a Family CurrentSince Oct 13, 2025 Accepting new patients
Cardiorenal Therapeutics of Washington, PLLC CurrentSince Jul 14, 2025 Accepting new patients
Altea Medical Washington PLLC CurrentSince Apr 21, 2025 Accepting new patients
Post Acute Medical PLLC CurrentSince Oct 17, 2023 Accepting new patients

Locations

400 E Rivulon Blvd
Ste 103
Gilbert, AZ 85297

312 Arizona Ave
Ste 314
Santa Monica, CA 90401

1250 SE Roberts Ave
Gresham, OR 97080
Phone (503) 667-5430

530 Birch St
Junction City, OR 97448
Phone (541) 998-2395

637 Ash St
Myrtle Point, OR 97458
Phone (541) 572-2066

127 NE 102nd Ave
Ste A
Portland, OR 97220
Phone (541) 998-2395

414 17th St SE
Auburn, WA 98002
Phone (253) 320-0748

303 Telegraph Rd
Bellingham, WA 98226
Phone (360) 863-6696

33530 1st Way S
Ste 44
Federal Way, WA 98003
Phone (253) 300-8447

1201 2nd Ave
Ste 900
Seattle, WA 98101
Phone (206) 801-1621

2821 S Walden St
Seattle, WA 98144
Phone (206) 577-6200

6025 N Assembly St
Spokane, WA 99205
Phone (509) 326-8282

6220 S Alaska St
Tacoma, WA 98408
Phone (253) 473-2273

3305 Main St
Ste 24
Vancouver, WA 98663
Phone (360) 602-1477

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1664236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790035200000",
    "number": "1508580119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12045 SE 5TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986835214",
            "telephone_number": "904-763-6796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18633 SE STARK ST STE 401",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972335468",
            "telephone_number": "503-489-1760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNAL",
        "first_name": "BENEDICT MARK",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-27",
        "last_updated": "2026-09-22",
        "certification_date": "2026-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "2022013773",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "202215281NP-PP",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.