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Individual

DR. KENNETH HARRY BOOKSTEIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
10180 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-8970
(503) 652-2880
Mailing address
11271 SE ALEXANDER AVE, HAPPY VALLEY, OR 97086-7097
(503) 698-2046
(503) 698-2046

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
MD00041904
WA
2085R0202X
Diagnostic Radiology Physician
Primary
MD24483
OR

Other

Enumeration date
10/03/2006
Last updated
02/04/2022
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