NPI 1265596639 · live from the CMS NPI Registry
Brett A Bennink, Psy.D.
Psychologist, Clinical in Beaverton, OR. National Provider Identifier 1265596639, active.
NPI record
| NPI | 1265596639 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist, Clinical 103TC0700X |
| Practice location | 9670 Sw Beaverton Hillsdale Hwy, Beaverton, OR 97005 |
| Practice phone | 503-626-9494 |
| Mailing address | Po Box 82819, Portland, OR 97282 |
| Enumerated | December 20, 2006 |
| Last updated | July 9, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist, Clinical primary | 103TC0700X | 1087 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.