Individual
KERIANNE MCKEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2525 NW LOVEJOY ST STE 400, PORTLAND, OR 97210-2865
(503) 223-1933
(503) 223-1947
Mailing address
2525 NW LOVEJOY ST STE 400, PORTLAND, OR 97210-2865
(503) 223-1933
(503) 223-1947
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA01375
OR
Other
Enumeration date
08/22/2008
Last updated
05/03/2018
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