Individual
MICHELA KENNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
672 NW AUTUMNCREEK WAY APT M303, BEAVERTON, OR 97006-7789
(314) 304-7484
Mailing address
1704 SE 170TH AVE, VANCOUVER, WA 98683-3445
(314) 304-7484
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3446ATI
OR
152W00000X
Optometrist
60280003
WA
Other
Enumeration date
06/18/2012
Last updated
05/12/2026
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