Individual
SHARON JEAN KENOSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2701 NW VAUGHN ST, PORTLAND, OR 97210-5311
(503) 499-5200
Mailing address
1819 NE 66TH ST, VANCOUVER, WA 98665-0367
(360) 737-8986
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
088006542N1
OR
363LF0000X
Family Nurse Practitioner
AP30002512
WA
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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