Active NPIIndividual provider

Brett A Bennink, PSYD

Psychologist, Clinical in Beaverton, Oregon

NPI Number1265596639
Practice location
9670 SW Beaverton Hillsdale Hwy, Beaverton, OR 97005-3307
Fax
503-646-8401
Last updated
July 9, 2007

Brett A Bennink is a Psychologist, Clinical based in Beaverton, OR. Brett A Bennink practices in Beaverton, OR and has the professional credentials of PSYD. The NPI Number for Brett A Bennink is 1265596639 and holds a License No. 1087 (OR). The current practice location address for Brett A Bennink is 9670 SW Beaverton Hillsdale Hwy, Beaverton, OR 97005-3307 and can be reached out via phone at 503-626-9494 and via fax at 503-646-8401.

Provider Profile Details

NPI Number
1265596639
Provider Name
Brett A Bennink
Credential
PSYD
Provider Entity Type
Individual
Gender
Male
Address
9670 SW Beaverton Hillsdale Hwy, Beaverton, OR 97005-3307
Phone Number
503-626-9494
Fax Number
503-646-8401
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
No
Provider Enumeration Date
December 20, 2006
Last Update Date
July 9, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
9670 SW Beaverton Hillsdale Hwy
Beaverton, OR 97005-3307
State
Oregon
Zip
97005-3307
Phone Number
503-626-9494
Fax Number
503-646-8401
Beaverton, OR 97005Get directions →

Provider Business Mailing Address Details

Address
Po Box 82819
Portland, OR 97282-0819
City
Portland
State
OR
Zip
97282-0819
Phone Number
503-233-5405
Fax Number
503-233-2696

License Information

License Number
1087
License State
OR
Taxonomy
Psychologist, Clinical · 103TC0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Brett A Bennink, PSYD?

The NPI number of Brett A Bennink, PSYD is 1265596639. It was assigned on December 20, 2006 and is currently active in the NPPES registry.

What is the specialty of Brett A Bennink, PSYD?

Brett A Bennink, PSYD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in OR under license number 1087.

Where does Brett A Bennink, PSYD practice?

The practice location is 9670 SW Beaverton Hillsdale Hwy, Beaverton, OR 97005-3307. The office can be reached at 503-626-9494 (phone) or 503-646-8401 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1265596639 directly on the NPPES registry website.

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