Individual
MRS. KENDRA D MESA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3181 SW SAM JACKSON PARK RD # ED, PORTLAND, OR 97239-3011
(503) 494-7551
(503) 494-4997
Mailing address
60 S 11TH CT, RIDGEFIELD, WA 98642-9386
(239) 218-6724
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA60493784
WA
363AM0700X
Medical Physician Assistant
Primary
PA209206
OR
Other
Enumeration date
07/31/2014
Last updated
04/26/2022
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