Individual
TRAVIS KERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MACOM
Contact information
Practice address
7642 SW CAPITOL HWY, PORTLAND, OR 97219-2437
(971) 288-5939
Mailing address
6506 SE 89TH AVE, PORTLAND, OR 97266-5346
(504) 451-1739
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC186554
OR
Other
Enumeration date
05/17/2018
Last updated
05/30/2024
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