Individual
MR. KENYON JAY SOLECKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, PA-C
Contact information
Practice address
1200 NE 48TH AVE STE 1100, HILLSBORO, OR 97124-5062
(503) 844-8219
(503) 844-8234
Mailing address
PO BOX 5187, PORTLAND, OR 97208-5187
(503) 494-8417
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA184757
OR
Other
Enumeration date
09/14/2017
Last updated
12/19/2023
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