Individual
KENDRA SUE GALIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1321 NE 99TH AVE STE 100, PORTLAND, OR 97220-9437
(503) 215-9900
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
611
AK
363A00000X
Physician Assistant
Primary
PA167150
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1572634
—
AK
Enumeration date
07/09/2006
Last updated
04/26/2022
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