Search › Oregon › 363AM0700X
Kendra Mesa, PA
NPI 1164830212 · on the registry since 2014
Practice
- Address
- 3181 Sw Sam Jackson Park Rd # Ed
Portland, OR 97239 - Phone
- (503) 494-7551
- Fax
- (503) 494-4997
Registry record
- Primary taxonomy
- 363AM0700X
363AM0700X
- Also registered as
- 363A00000X
- Licence states on file
- OR, WA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-04-26
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