STEPHANIE MARIE BENNETT
NPI 1073275673
Peer Specialist in Portland, OR

Active since October 11, 2021
726 W BURNSIDE ST, PORTLAND, OR 97209(503) 944-4410 Get Directions Write a Review

NPPES record last updated: October 11, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Stephanie Marie Bennett NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STEPHANIE MARIE BENNETT (NPI 1073275673) is an individual peer specialist in Portland, Oregon, licensed in Oregon (THW3862) and active in the NPI registry since October 2021.

NPPES Registry Identity

NPI1073275673
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameSTEPHANIE MARIE BENNETT
Location Address726 W BURNSIDE STPortland, OR 97209-3515
Mailing Address232 Nw 6th AvePortland, OR 97209-3609 · (503) 294-1681
Sole ProprietorNo
Enumeration DateOctober 11, 2021
NPPES CertifiedOctober 11, 2021
NPI 1073275673 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License Licensed in OR · THW3862
Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

726 W BURNSIDE ST, Portland, OR 97209

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Addiction (Substance Use Disorder))
726 W BURNSIDE ST
PORTLAND, OR 97209
Counselor (Addiction (Substance Use Disorder))
726 W BURNSIDE ST
PORTLAND, OR 97209
Peer Specialist
726 W BURNSIDE ST
PORTLAND, OR 97209
Counselor (Addiction (Substance Use Disorder))
726 W BURNSIDE ST
PORTLAND, OR 97209
Counselor (Addiction (Substance Use Disorder))
726 W BURNSIDE ST
PORTLAND, OR 97209
Peer Specialist
726 W BURNSIDE ST
PORTLAND, OR 97209

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stephanie Bennett's NPI number?

The NPI number for Stephanie Bennett is 1073275673. It was assigned to this individual provider in the NPPES registry on October 11, 2021.

Where is Stephanie Bennett located?

Stephanie Bennett practices at 726 W Burnside St, Portland, OR 97209. The listed phone number is (503) 944-4410.

What is Stephanie Bennett's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Stephanie Bennett was last updated on October 11, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.