Individual
MR. DANIEL KEN KAMADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
333 SE 223RD AVE, STE 204, GRESHAM, OR 97030-7454
(503) 661-7733
(503) 661-7890
Mailing address
333 SE 223RD AVE, STE 204, GRESHAM, OR 97030-7454
(503) 661-7733
(503) 661-7890
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
077038738N6
OR
Other
Enumeration date
04/03/2007
Last updated
07/08/2007
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