Individual provider · Type 1 NPI
Nicole Mackenzie Bennett, PMHNP
Psychiatric/Mental Health Nurse Practitioner · Portland, OR
NPI number
1164654166
Active
Practice location
700 NE Multnomah St, Suite 275
Portland, OR 97232-2131
Fax (503) 841-6343
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 200950088NP (OR) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
24 other providers at this address
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- John B. Aspros, DMDGeneral Practice Dentistry Portland, OR NPI 1770646242
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About NPI 1164654166
Nicole Mackenzie Bennett, PMHNP's National Provider Identifier is 1164654166, issued on Aug 10, 2009. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Portland, OR. The record was last updated on Nov 8, 2016.