Individual
KURT C KEMMERER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
4212 NE BROADWAY ST, PORTLAND, OR 97213-1460
(503) 249-8787
Mailing address
2215 NE 37TH AVE, PORTLAND, OR 97212-5253
(503) 249-2075
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
OR
Other
Enumeration date
10/27/2006
Last updated
08/21/2007
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