Individual provider · Type 1 NPI

Stephanie Marie Bennett

Peer Specialist · Portland, OR

NPI number 1073275673 Active

Practice location

726 W Burnside St
Portland, OR 97209-3515

Call (503) 944-4410 Map

Mailing address

232 NW 6th Ave
Portland, OR 97209-3609

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XTHW3862 (OR)

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

6 other providers at this address

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About NPI 1073275673

Stephanie Marie Bennett's National Provider Identifier is 1073275673, issued on Oct 11, 2021. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Portland, OR. The record was last updated on Oct 11, 2021.