Bennington, Ellen

Bennington, Ellen is an individual health care provider with primary practice located at 847 Ne 19Th Ave Ste 100 , Portland OR 97232-2684. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Bennington, Ellen can be contacted via phone (032) 380-7695.

Contact Information

Primary practice address
847 Ne 19Th Ave Ste 100 Portland OR 97232-2684
Phone: (032) 380-7695
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X Oregon

Profile Details

NPI number 1174079768
LBN Legal business name Bennington, Ellen
Credentials QMHA
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2016
Last updated Jul 23rd, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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