Individual
KENNETH MARSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2701 NW VAUGHN ST STE 140, PORTLAND, OR 97210-5344
(503) 499-5200
Mailing address
7575 SW MINER WAY, PORTLAND, OR 97225-3023
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L1746
OR
Other
Enumeration date
12/21/2011
Last updated
12/21/2011
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