Individual
REBECCA H. KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2455 NW MARSHALL ST STE 10, PORTLAND, OR 97210-2949
(503) 913-5409
Mailing address
10350 N VANCOUVER WAY # 5307, PORTLAND, OR 97217-7530
(503) 913-5409
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD22655
OR
Other
Enumeration date
06/06/2006
Last updated
12/12/2023
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