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Individual

SARAH MARIE BENNETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
1535 N WILLIAMS AVE, PORTLAND, OR 97227-1885
(503) 238-2067
Mailing address
232 NW 6TH AVENUE, ATTN: CREDENTIALING, PORTLAND, OR 97209
(503) 501-5641

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201705108RN
OR

Other

Enumeration date
09/10/2018
Last updated
09/10/2018
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