# MARCIA KERENSKY, MD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083012108
- **Authorized official:** DR. MARCIA MARGARET KERENSKY MD (PHYSICIAN)
- **Authorized official phone:** (503) 715-6437

## Contact information

- **Practice address:** 1804 SW PENDLETON ST, PORTLAND, OR 97239-2050
- **Practice address phone:** (503) 715-6437
- **Mailing address:** 1804 SW PENDLETON ST, PORTLAND, OR 97239-2050
- **Mailing address phone:** (503) 715-6437

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311500000X | Alzheimer Center (Dementia Center) | 16947 | OR | Yes |

## Other

- **Enumeration date:** 12/06/2014
- **Last updated:** 12/06/2014