Active NPI
Bembenek Travel Health Wa
Doing business as Passport Health
- Community Health Worker
- Portland, OR
National Provider Identifier
1902504921
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
- 1515 SW 5TH Avenue
Suite 660B
Portland, OR 97201 - Phone
- (877) 358-8648
- Fax
- (877) 877-6875
- NPI assigned
- Feb 20, 2023
- 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
1515 SW 5TH Avenue
Suite 660B
Portland, OR 97201
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
1020 SW Taylor St
Ste 740
Portland, OR 97205
Phone (503) 222-4056
1515 SW 5th Ave
Ste 660B
Portland, OR 97201
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676851200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1775088000000",
"number": "1902504921",
"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": "1515 SW 5TH AVENUE",
"address_2": "SUITE 660B",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97201",
"telephone_number": "877-358-8648",
"fax_number": "877-877-6875"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BEMBENEK TRAVEL HEALTH WA",
"organizational_subpart": "NO",
"enumeration_date": "2023-02-20",
"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": "",
"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 Portland, 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.