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Individual

CATHERINE MARIE BENNETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RDN, LD

Contact information

Practice address
2857 NE 72ND AVE, PORTLAND, OR 97213-5912
(503) 890-8811
Mailing address
2857 NE 72ND AVE, PORTLAND, OR 97213-5912
(503) 890-8811

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
000469
OR

Other

Enumeration date
04/19/2019
Last updated
04/19/2019
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