Bennett, Susan

Bennett, Susan is an sole proprietor health care provider with primary practice located at 4915 N Interstate Ave , Portland OR 97217-3624. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Bennett, Susan can be contacted via phone (503) 705-3852.

Contact Information

Primary practice address
4915 N Interstate Ave Portland OR 97217-3624
Phone: (503) 705-3852
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 749 Oregon

Profile Details

NPI number 1972623510
LBN Legal business name Bennett, Susan
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 29th, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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