Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kendel Nicole Bennett

Individual provider Physician Assistant · NPI 1912455205

Kendel Nicole Bennett is a Physician Assistant in Astoria, Oregon. Practices as a sole proprietor and works from 2 locations. Licensed in Oregon.

Licensed in
OR
In the registry since
2016
Specialties on file
2

Practice location Address checks out

2095 Exchange St Ste 301
Astoria, OR 97103-3400
Phone: (503) 338-4087
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3155 Sw Moody Ave Apt 303, Portland, OR 97239-4731 — (303) 947-1277

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 190537 (OR)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1912455205
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 14, 2016
Last updated in NPPESJanuary 3, 2019
Mailing address3155 Sw Moody Ave Apt 219, Portland, OR 97239-4703

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