MRS. JACQUELYN ALICE BENNETT (RN) – Gerontology Registered Nurse, NPI 1083964704

MRS. JACQUELYN ALICE BENNETT (RN) is a healthcare provider. based in Portland, Oregon. specializing in Gerontology Registered Nurse. They hold the professional credentials RN. They hold a License No. 200340760RN (OR). The NPI Number for MRS. JACQUELYN ALICE BENNETT (RN) is 1083964704

Main info

Female
Name
MRS. JACQUELYN ALICE BENNETT (RN)
NPI
1083964704
Phone
(503) 215-3738
Address
4540 NE GLISAN ST
Enumeration Date
11 September 2012
Last Update Date
11 September 2012
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

Provider Addresses for MRS. JACQUELYN ALICE BENNETT (RN)

  • 4540 NE GLISAN ST

    PORTLAND, OR 972132333

    Phone: (503) 215-3738

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97213)

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Reviews

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Frequently asked questions

Can I cross-check MRS. JACQUELYN ALICE BENNETT (RN) using NPI 1083964704?
NPI 1083964704 belongs to MRS. JACQUELYN ALICE BENNETT (RN); compare other details if you need extra assurance.
Is MRS. JACQUELYN ALICE BENNETT (RN) shown as active in public data?
Registry records indicate MRS. JACQUELYN ALICE BENNETT (RN) maintains an active NPI.
What kind of doctor is MRS. JACQUELYN ALICE BENNETT (RN)?
MRS. JACQUELYN ALICE BENNETT (RN) is associated with Gerontology Registered Nurse in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for MRS. JACQUELYN ALICE BENNETT (RN)?
Travel planning: use Portland, Oregon as the reference point for MRS. JACQUELYN ALICE BENNETT (RN), then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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