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Kernan Willis

NPI 1619161510 · on the registry since 2007 · sole proprietor

Practice

Address
2545 E Burnside St
Apt 106
Portland, OR 97214
Phone
(503) 238-0769

Registry record

Primary taxonomy
372600000X
372600000X
Sex
Female
Record last updated
2007-09-04

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