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

Stephanie Marie Bennett

Individual provider Peer Specialist · NPI 1073275673

Stephanie Marie Bennett is a Peer Specialist in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2021.

Licensed in
OR
In the registry since
2021

Practice location Address checks out

726 W Burnside St
Portland, OR 97209-3515
Phone: (503) 944-4410
Show map & directions

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

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence THW3862 (OR)

Record details

NPI number1073275673
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 11, 2021
Last updated in NPPESOctober 11, 2021
Certification dateOctober 11, 2021
Mailing address232 Nw 6th Ave, Portland, OR 97209-3609

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