Individual
JEREMY S KERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10150 SE 32ND AVE, MILWAUKIE, OR 97222-6516
(503) 215-2180
Mailing address
PO BOX 3397, PORTLAND, OR 97208-3397
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
04015
OR
Other
Enumeration date
03/28/2008
Last updated
03/28/2008
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