Individual
KENDALL CLAYTON KARCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
30 NE MLK JR BLVD, PORTLAND, OR 97232-2941
(503) 230-7652
Mailing address
4809 NE 41ST AVE, PORTLAND, OR 97211-8142
(971) 235-4398
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
200641000RN
OR
Other
Enumeration date
12/12/2019
Last updated
12/12/2019
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