Individual
DR. MARSHAL TERRANCE KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
2775 SE POWELL VALLEY RD, GRESHAM, OR 97080-1475
(503) 667-7789
(503) 667-2032
Mailing address
2775 SE POWELL VALLEY RD, GRESHAM, OR 97080-1475
(503) 667-7789
(503) 667-2032
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
DP00139
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
283523
—
OR
Enumeration date
04/25/2007
Last updated
11/09/2013
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