Individual
ELAN KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3181 SW SAM JACKSON PARK RD., MAIL CODE L353, OHSU, DIVISION OF CARDIOTHORACIC SURGERY, PORTLAND, OR 97239
(503) 494-7820
Mailing address
3181 SW SAM JACKSON PARK RD., MAIL CODE L353, OHSU, DIVISION OF CARDIOTHORACIC SURGERY, PORTLAND, OR 97239
(503) 494-7820
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
055-0031496
VT
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
12/10/2013
Last updated
04/08/2021
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