Individual
MR. KEVIN DEAN DARNELL I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
7155 SW VARNS ST, SUITE 214, TIGARD, OR 97223-8174
(503) 442-9349
Mailing address
7155 SW VARNS ST, SUITE 214, TIGARD, OR 97223-8174
(503) 442-9349
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA 18971
OR
Other
Enumeration date
09/30/2014
Last updated
09/30/2014
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