Individual
JENNIFER KUENZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3025 SW CORBETT AVE, PORTLAND, OR 97201-4858
(503) 552-1551
Mailing address
2534 SE 35TH AVE, PORTLAND, OR 97202-1502
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
12/05/2009
Last updated
12/05/2009
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