Search › Oregon › 374J00000X
Alice Kennerly
NPI 1720815970 · on the registry since 2024 · sole proprietor
Practice
- Address
- 10153 Nw 107th Ave
Portland, OR 97231 - Phone
- (503) 310-5694
Registry record
- Primary taxonomy
- 374J00000X
374J00000X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-09-19
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