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KENDEL NICOLE BENNETT
NPI 1912455205
Physician Assistant in Astoria, OR

Active since September 14, 2016
2095 EXCHANGE ST STE 301, ASTORIA, OR 97103(503) 338-4087 Get Directions Write a Review

NPPES record last updated: January 3, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 3, 2019, Sep 14, 2016 (2 updates tracked since 2016).

About Kendel Nicole Bennett NPPES

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

KENDEL NICOLE BENNETT (NPI 1912455205) is an individual physician assistant in Astoria, Oregon, licensed in Oregon (190537) and active in the NPI registry since September 2016. She maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1912455205
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKENDEL NICOLE BENNETT
Location Address2095 EXCHANGE ST STE 301Astoria, OR 97103-3400
Mailing Address3155 Sw Moody Ave Apt 219Portland, OR 97239-4703 · (303) 947-1277
Phone(503) 338-4087
Sole ProprietorYes
Enumeration DateSeptember 14, 2016
Last NPPES UpdateJanuary 3, 20192 updates tracked since enumeration
✔ NPI 1912455205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in OR · 190537
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
2095 EXCHANGE ST STE 301, Astoria, OR 97103
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Secondary Practice Location 1

Location 13155 SW Moody Ave Apt 303Portland, OR 97239-4731 · Phone (303) 947-1277

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

DIANA RINKEVICH MD
Internal Medicine (Cardiovascular Disease)
2095 EXCHANGE ST STE 301
ASTORIA, OR 97103
Clatsop County (503) 338-4087
CHARLOTTE PULITZER LCSW
Social Worker (Clinical)
2095 EXCHANGE ST STE 301
ASTORIA, OR 97103
Clatsop County (503) 338-4087
DR. TIMOTHY MICHAEL BECKER DO
Internal Medicine (Cardiovascular Disease)
2095 EXCHANGE ST STE 301
ASTORIA, OR 97103
Clatsop County (503) 338-4087
MRS. HEATHER MARIE MCLEAN N.P.
Nurse Practitioner
2095 EXCHANGE ST STE 301
ASTORIA, OR 97103
Clatsop County (503) 338-4087

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 Kendel Bennett's NPI number?

The NPI number for Kendel Bennett is 1912455205. It was assigned to this individual provider in the NPPES registry on September 14, 2016.

Where is Kendel Bennett located?

Kendel Bennett practices at 2095 Exchange St Ste 301, Astoria, OR 97103. The listed phone number is (503) 338-4087.

What is Kendel Bennett's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Kendel Bennett was last updated on January 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.