Individual
KATRINA L KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
422 NW 13TH AVE STE 115, PORTLAND, OR 97209-2930
(888) 657-4456
(415) 989-5001
Mailing address
7500 SW BARNES RD, PORTLAND, OR 97225-6258
(503) 278-2050
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/07/2019
Last updated
06/07/2019
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