Individual
MRS. LISA JOY KENDALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2615 6TH ST, TILLAMOOK, OR 97141-4114
(503) 842-3975
Mailing address
2615 6TH ST, TILLAMOOK, OR 97141-4114
(503) 842-3975
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
—
OR
363LF0000X
Family Nurse Practitioner
Primary
0940064921N1FNPPP
OR
Other
Enumeration date
04/01/2006
Last updated
10/04/2007
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