Individual
DANIEL L KENNEDY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
5050 NE HOYT ST, PORTLAND, OR 97213-2956
(503) 215-6296
(503) 215-6459
Mailing address
2617 SE SWAIN AVE, MILWAUKIE, OR 97267-3818
(503) 659-2050
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8492
OR
Other
Enumeration date
05/12/2006
Last updated
07/08/2007
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