Individual
KENDRA JAYNE WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1420 NW LOVEJOY ST, #432, PORTLAND, OR 97209-2734
(503) 914-6125
Mailing address
1420 NW LOVEJOY ST, #432, PORTLAND, OR 97209-2734
(503) 914-6125
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
200541430RN
OR
363LF0000X
Family Nurse Practitioner
Primary
200950096NP
OR
Other
Enumeration date
12/01/2008
Last updated
03/25/2021
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