Individual
KENDALL HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12123 SW 69TH AVE, TIGARD, OR 97223-8514
(971) 708-7600
Mailing address
1498 SE TECH CENTER PL STE 240, VANCOUVER, WA 98683-5508
(360) 597-1313
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA211820
OR
Other
Enumeration date
02/20/2021
Last updated
10/07/2024
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