Individual
SHARON D KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4805 NE GLISAN ST, 3E, PORTLAND, OR 97213-2933
(503) 215-6494
(503) 215-6644
Mailing address
PO BOX 4949, PORTLAND, OR 97208-4949
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
—
OR
Other
Enumeration date
07/03/2006
Last updated
07/08/2007
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