Individual
STEPHENIE BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
433 E 8TH ST, PORT ANGELES, WA 98362-6219
(360) 565-0999
(360) 565-7610
Mailing address
PO BOX 850, PORT ANGELES, WA 98362-0146
(360) 565-0999
(360) 565-7610
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA60115661
WA
Other
Enumeration date
11/13/2009
Last updated
07/21/2022
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