Provider Demographics
NPI:1124995626
Name:BENITEZ FLORES, OSCAR ALEJANDRO (FNP-C)
Entity type:Individual
Prefix:
First Name:OSCAR
Middle Name:ALEJANDRO
Last Name:BENITEZ FLORES
Suffix:
Gender:M
Credentials:FNP-C
Other - Prefix:
Other - First Name:OSCAR
Other - Middle Name:ALEJANDRO
Other - Last Name:BENITEZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 31001
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91110-4180
Mailing Address - Country:US
Mailing Address - Phone:541-204-1699
Mailing Address - Fax:971-471-5205
Practice Address - Street 1:1698 E MCANDREWS RD STE 280
Practice Address - Street 2:
Practice Address - City:MEDFORD
Practice Address - State:OR
Practice Address - Zip Code:97504-5590
Practice Address - Country:US
Practice Address - Phone:541-204-1699
Practice Address - Fax:971-471-5205
Is Sole Proprietor?:No
Enumeration Date:2025-10-20
Last Update Date:2025-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR1005220363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily