Individual
MARCIA M KERENSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2400 SW VERMONT ST, PORTLAND, OR 97219-1940
(503) 452-0915
(503) 768-9232
Mailing address
2400 SW VERMONT ST, PORTLAND, OR 97219-1940
(503) 452-0915
(503) 768-9232
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD16947
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
060413
—
OR
Enumeration date
07/26/2005
Last updated
09/28/2011
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