IndividualActive
Peter Bennett, LCSW
NPI 1235632050 · Clinical Social Worker · Portland, OR
Provider details
- NPI number
- 1235632050
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Male
- Sole proprietor
- Yes
- License
- 7372 (OR)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
3813 Se Roswell St
Portland, OR 97222-5649
Phone: (971) 319-2660
Approximate (ZIP-level) locationGet directions
Mailing address
3813 Se Roswell St
Portland, OR 97222-5649
Registry dates
- Enumerated
- 2018-03-18
- Last updated
- 2018-03-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.