Individual
KENNETH L RHOADS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1960 NW 167TH PL., SUITE 205, BEAVERTON, OR 97006
(503) 413-7162
(503) 672-6131
Mailing address
PO BOX 3777, PORTLAND, OR 97208-3777
(503) 413-3900
(503) 413-3710
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD11869
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
242974
—
OR
Enumeration date
07/01/2005
Last updated
02/01/2017
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