Individual
SHAWN KERR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
B.S.
Contact information
Practice address
9911 SE MOUNT SCOTT BLVD, PORTLAND, OR 97266-6302
(503) 258-4200
Mailing address
10325 NE HANCOCK ST APT 18, PORTLAND, OR 97220-3833
(907) 350-6202
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
171M00000X
OR
Other
Enumeration date
09/25/2013
Last updated
09/25/2013
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