Organization
MARCIA KERENSKY, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARCIA MARGARET KERENSKY MD (PHYSICIAN)
(503) 715-6437
Entity
Organization
Contact information
Practice address
1804 SW PENDLETON ST, PORTLAND, OR 97239-2050
(503) 715-6437
Mailing address
1804 SW PENDLETON ST, PORTLAND, OR 97239-2050
(503) 715-6437
Taxonomy
Speciality
Code
Description
License number
State
311500000X
Alzheimer Center (Dementia Center)
Primary
16947
OR
Other
Enumeration date
12/06/2014
Last updated
12/06/2014
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