Individual
LISA KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
974 SW VETERANS WAY, SUITE 2, REDMOND, OR 97756-2564
(541) 548-5335
(541) 548-2166
Mailing address
8800 SE SUNNYSIDE RD STE 300N, CLACKAMAS, OR 97015-5703
(281) 286-2999
(512) 607-4893
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
—
OR
237700000X
Hearing Instrument Specialist
Primary
HAS-P-10150619
OR
Other
Enumeration date
08/28/2014
Last updated
01/15/2018
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