Catherine Marie Bennett, RDN, LD
Individual provider Active NPI Registered Dietitian · Portland, OR
NPI 1811550320 · NPPES record last updated Apr 19, 2019
Key facts
- NPI
- 1811550320
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 000469 (OR)
- Practice address
- 2857 NE 72ND Ave
Portland, OR 97213-5912 - Phone
- (503) 890-8811
- NPI assigned
- Apr 19, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000469 | OR | MD | Registered Dietitian |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 000469 | OR | Yes |
Addresses
Primary practice location
2857 NE 72ND Ave
Portland, OR 97213-5912
Mailing address
2857 NE 72ND Ave
Portland, OR 97213-5912
Phone (503) 890-8811
Other providers in Portland, OR
- Katrina Bennett Brown
- Tuli Jahan Bennett-Bose
- Amy N Bennett
- Ashley Bennett
- Ashley Bennett
- David Allen Bennett
- Diana Bennett
- Erika Bennett
- Hamid Shibata Bennett
- Jacquelyn Alice Bennett
All providers in Portland, OR · Registered Dietitian in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 19, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.