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MARK BENNETT
NPI 1730056961
Licensed Practical Nurse in Medford, OR

Active since October 22, 2025
777 MURPHY RD, MEDFORD, OR 97504(541) 772-2763(541) 734-3164 Get Directions Write a Review

NPPES record last updated: October 22, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Mark Bennett NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARK BENNETT (NPI 1730056961) is an individual licensed practical nurse in Medford, Oregon, licensed in Oregon (10011034) and active in the NPI registry since October 2025.

NPPES Registry Identity

NPI1730056961
Entity TypeIndividual
Primary Taxonomy164W00000X
Provider Legal NameMARK BENNETT
Location Address777 MURPHY RDMedford, OR 97504-8425
Mailing Address777 Murphy RdMedford, OR 97504-8425 · (541) 772-2763 · Fax (541) 734-3164
Phone(541) 772-2763
Fax(541) 734-3164
Sole ProprietorNo
Enumeration DateOctober 22, 2025
NPPES CertifiedOctober 22, 2025
✔ NPI 1730056961 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in OR · 10011034
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
777 MURPHY RD, Medford, OR 97504
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COLLEEN TAYLOR
Counselor (Addiction (Substance Use Disorder))
777 MURPHY RD
MEDFORD, OR 97504
Jackson County (541) 772-2763
JOANNA ARFSTEN
Counselor (Addiction (Substance Use Disorder))
777 MURPHY RD
MEDFORD, OR 97504
Jackson County (541) 772-2763
RAEMY REINHARDT
Counselor (Addiction (Substance Use Disorder))
777 MURPHY RD
MEDFORD, OR 97504
Jackson County (541) 772-2763
CRYSTAL ROBINSON
Licensed Practical Nurse
777 MURPHY RD
MEDFORD, OR 97504
Jackson County (541) 772-2763
NATHAN J MACDONALD
Counselor (Addiction (Substance Use Disorder))
777 MURPHY RD
MEDFORD, OR 97504
Jackson County (541) 772-2763
KERIANN ENSWORTH
Licensed Practical Nurse
777 MURPHY RD
MEDFORD, OR 97504
Jackson County (541) 772-2763
COLE MATHEW ASHER
Counselor (Addiction (Substance Use Disorder))
777 MURPHY RD
MEDFORD, OR 97504
Jackson County (541) 772-2763
LESIE WOBIG
Licensed Practical Nurse
777 MURPHY RD
MEDFORD, OR 97504
Jackson County (541) 772-2763

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Bennett's NPI number?

The NPI number for Mark Bennett is 1730056961. It was assigned to this individual provider in the NPPES registry on October 22, 2025.

Where is Mark Bennett located?

Mark Bennett practices at 777 Murphy Rd, Medford, OR 97504. The listed phone number is (541) 772-2763.

What is Mark Bennett's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Mark Bennett was last updated on October 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.