Individual
DR. KENNETH A JANOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5050 NE HOYT ST STE 411, PORTLAND, OR 97213-2983
(503) 239-4324
(503) 239-5572
Mailing address
3427 BARRINGTON DR, WEST LINN, OR 97068-3645
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
MD11807
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
244483
—
OR
Enumeration date
11/20/2006
Last updated
10/04/2011
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