Individual
KENSIE UNDERWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
4585 SW 185TH AVE, ALOHA, OR 97078-1557
(503) 591-9280
(503) 619-1949
Mailing address
4585 SW 185TH AVE, ALOHA, OR 97078-1557
(503) 591-9280
(503) 619-1949
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201924381RN
OR
Other
Enumeration date
11/04/2021
Last updated
11/04/2021
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