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Kendall Hall
Medical Physician Assistant in Tigard, Oregon
NPI 1790379733

Kendall Hall is a Medical Physician Assistant based in Vancouver, OR and is specialized in Medical. Kendall Hall practices in Tigard, OR. The NPI Number for Kendall Hall is 1790379733 and holds a License No. (Oregon).

The current practice location address for Kendall Hall is 12123 Sw 69Th Ave, Tigard, OR and can be reached out via phone at 971-708-7600.

Location: 12123 Sw 69Th Ave, Tigard, OR, 98683-5508
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790379733
Provider Name
Kendall Hall
Credential
Provider Entity Type
Individual
Gender
Female
Address
12123 Sw 69Th Ave, Tigard, OR, 98683-5508
Phone Number
971-708-7600
Fax Number
Provider Enumeration Date
02/20/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
12123 Sw 69Th Ave
City
Tigard
State
Oregon
Zip
97223-8514
Phone Number
971-708-7600
Fax Number
person
Provider Business Mailing Address Details
Address
12123 Sw 69Th Ave
City
Tigard
State
Oregon
Zip
97223-8514
Phone Number
971-708-7600
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
PA211820 (Oregon)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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