Provider Demographics
NPI:1689979734
Name:PORTNER, JULEE (SLP)
Entity type:Individual
Prefix:
First Name:JULEE
Middle Name:
Last Name:PORTNER
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:JULEE
Other - Middle Name:
Other - Last Name:BENZAKEN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:SLP
Mailing Address - Street 1:3150 MONSARRAT AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96815-4488
Mailing Address - Country:US
Mailing Address - Phone:808-735-5541
Mailing Address - Fax:
Practice Address - Street 1:3150 MONSARRAT AVE STE 200
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96815-4488
Practice Address - Country:US
Practice Address - Phone:808-735-4451
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-21
Last Update Date:2025-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI16491225700000X
L042287174N00000X
171400000X, 174H00000X
HISP-505235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
No174N00000XOther Service ProvidersLactation Consultant, Non-RN
No171400000XOther Service ProvidersHealth & Wellness Coach
No174H00000XOther Service ProvidersHealth Educator