Individual
KEVIN J KANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
10340 SE DIVISION ST, PORTLAND, OR 97266
(503) 232-1000
(503) 232-1143
Mailing address
10340 SE DIVISION ST, PORTLAND, OR 97266
(503) 232-1000
(503) 232-1143
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
DO20375
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06701800
BCBSO
OR
05
—
3555836
—
OR
Enumeration date
09/07/2005
Last updated
08/28/2015
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