Individual
KENNEDY TAYLOR EMERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(916) 251-6636
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(916) 251-6636
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
363AS0400X
Surgical Physician Assistant
PA219069
OR
Other
Enumeration date
06/16/2023
Last updated
05/15/2024
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