Individual
KIMBERLY ANNE MCKENNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, OHSU, PORTLAND, OR 97239-3011
(503) 494-8220
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(034) 946-1765
(503) 494-6152
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
MD194301
OR
Other
Enumeration date
08/17/2013
Last updated
08/23/2022
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