IndividualActive
Susan Bennett, PHD
NPI 1972623510 · Psychologist · Portland, OR
Susan Bennett, PHD is a Psychologist provider in Portland, OR (NPI 1972623510).
Provider details
- NPI number
- 1972623510
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Credential
- PHD
- Sex
- Female
- Sole proprietor
- Yes
- License
- 749 (OR)
Practice location
4915 N Interstate Ave
Portland, OR 97217-3624
Phone: (503) 705-3852
Street-level locationGet directions
Mailing address
4915 N Interstate Ave
Portland, OR 97217-3624
Registry dates
- Enumerated
- 2007-03-29
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.