Individual
MS. MAUREEN ELIZABETH KENNY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2130 SW 5TH AVE, PORTLAND, OR 97201-4976
(503) 238-0769
Mailing address
4505 NE PRESCOTT ST APT 5, PORTLAND, OR 97218-1658
(503) 998-0400
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/19/2007
Last updated
07/08/2007
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