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Kenneth Lord
NPI 1700284619 · on the registry since 2014
Practice
- Address
- 1180 Ne Burnside Rd
Gresham, OR 97030 - Phone
- (503) 669-3061
- Fax
- (503) 328-0020
- Organisation at this address
- Lar Ken Enterprises, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 237700000X
237700000X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-10-13
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