NPI 1699234419 · live from the CMS NPI Registry
Tierney Anne Bennett, DO
Anesthesiology in Portland, OR. National Provider Identifier 1699234419, active.
NPI record
| NPI | 1699234419 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Anesthesiology 207L00000X |
| Practice location | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 |
| Practice phone | 503-494-8211 |
| Enumerated | March 19, 2019 |
| Last updated | March 20, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
| Anesthesiology primary | 207L00000X | DO214877 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.