Individual
KENDALL KANGIESER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2800 N VANCOUVER AVE, PORTLAND, OR 97227-1630
(503) 413-5490
Mailing address
913 N SITKA AVE, NEWBERG, OR 97132-1323
(713) 292-3051
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
110293
OR
Other
Enumeration date
01/03/2024
Last updated
01/03/2024
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