Individual
MCCRAE NATHANIAL KENNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
18766 SE STARK ST, PORTLAND, OR 97233-5330
(503) 650-8605
(503) 650-8605
Mailing address
PO BOX 8459, PORTLAND, OR 97207-8459
(503) 238-0769
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
11/03/2025
Last updated
11/03/2025
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