person
Elan Kennedy
Surgical Physician Assistant in Portland, Oregon
NPI 1528499910

Elan Kennedy is a Surgical Physician Assistant based in Portland, OR and is specialized in Surgical. Elan Kennedy practices in Portland, OR. The NPI Number for Elan Kennedy is 1528499910 and holds a License No. 055-0031496 (Oregon).

The current practice location address for Elan Kennedy is 3181 Sw Sam Jackson Park Rd., Mail Code L353, Portland, OR and can be reached out via phone at 503-494-7820.

Location: 3181 Sw Sam Jackson Park Rd., Mail Code L353, Portland, OR, 97239
person
Provider Profile Details
NPI Number
1528499910
Provider Name
Elan Kennedy
Credential
Provider Entity Type
Individual
Gender
Male
Address
3181 Sw Sam Jackson Park Rd., Mail Code L353, Portland, OR, 97239
Phone Number
503-494-7820
Fax Number
Provider Enumeration Date
12/10/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3181 Sw Sam Jackson Park Rd., Mail Code L353
City
State
Zip
97239
Phone Number
503-494-7820
Fax Number
person
Provider Business Mailing Address Details
Address
3181 Sw Sam Jackson Park Rd., Mail Code L353
City
State
Zip
97239
Phone Number
503-494-7820
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
055-0031496 (Vermont)
Definition
Definition to come...
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