Individual
KENNETH R CURTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
233 NE 102ND AVE, PORTLAND, OR 97220-4106
(503) 253-1105
(503) 535-8398
Mailing address
233 NE 102ND AVE, PORTLAND, OR 97220-4106
(503) 253-1105
(503) 535-8398
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
133795
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
872703
BLUE CROSS BLUE SHIELD
GA
Enumeration date
06/08/2005
Last updated
07/08/2007
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