Individual
KENDRA GWEN KILLIAN-DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
8104 SE REEDWAY ST, PORTLAND, OR 97206-5165
(503) 772-1821
Mailing address
8104 SE REEDWAY ST, PORTLAND, OR 97206-5165
(503) 772-1821
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201243822RN
OR
163W00000X
Registered Nurse
60332903
WA
Other
Enumeration date
02/01/2011
Last updated
04/17/2013
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