Individual
ANN KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPO
Contact information
Practice address
3101 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3009
(503) 221-3430
Mailing address
3101 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3009
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
CPO01796
AZ
224P00000X
Prosthetist
CPO01796
AZ
Other
Enumeration date
08/03/2016
Last updated
08/03/2016
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