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1265596639
BRETT A BENNINK
BEAVERTON, OR
NPI
1265596639
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: OR 1087)
Enumeration Date
2006-12-20
Last Update Date
2007-07-09
Business Address
-- BRETT A BENNINK Psy.D.
9670 SW BEAVERTON HILLSDALE HWY
BEAVERTON, OR 97005-3307
Phone number: 503-626-9494
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Mailing Address
-- BRETT A BENNINK Psy.D.
PO BOX 82819
PORTLAND, OR 97282-0819
Phone number: 503-233-5405
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