Individual
SEAN S BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
2801 N GANTENBEIN AVE, PORTLAND, OR 97227-1623
(503) 413-8949
Mailing address
PO BOX 3777, PORTLAND, OR 97208-3777
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
22399
ND
2084P0800X
Psychiatry Physician
283754
MA
2084P0800X
Psychiatry Physician
79056
MN
2084P0800X
Psychiatry Physician
Primary
DO189680
OR
Other
Enumeration date
04/13/2016
Last updated
01/27/2026
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