DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHELBY LEIGH BENNETT, PA

Active Sole Proprietor

Medical Physician Assistant · MADRAS, OR

Registration Details

NPI Number
1942074711
Provider Type
Individual
Gender
Female
NPI Issued
Nov 13, 2023 (2.4362315391211 yrs)
Last Updated
Dec 23, 2024
Licenses
PA64972 (CA)
PA222574 (OR)
Sole Proprietor
Yes

Practice Information

Address
83 SW K ST
MADRAS, OR, 977411046
Browse OR providers · Browse ZIP 97741
Phone
5035060474
Primary Specialty
Medical Physician Assistant
363AM0700X
Additional Specialty
Medical Physician Assistant

Other Medical Physician Assistant Providers in MADRAS, OR

Name Credential NPI
MRS. LINDSEY GAIL REINHART P.A. 1811217078
JOY ELIZABETH LIGHT PA 1770961377
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.