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Kenneth Reckard, PA-C
NPI 1083635916 · on the registry since 2006
Practice
- Address
- 19250 Sw 90th Ave
Tualatin, OR 97062 - Phone
- (503) 692-3750
- Fax
- (503) 691-2324
- Organisation at this address
- Oregon Clinic, Pc
Gso Equipment CorpInferred from a shared address, not stated in the registry. - Clinicians at this address
- 26
Additional practice sites
- 879 N Providence Dr, Newberg, OR
Registry record
- Primary taxonomy
- Medical Physician Assistant
363AM0700X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-12-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon