Individual provider · Type 1 NPI

Nicholas Dmytro Kendsersky, MD STUDENT

Student in an Organized Health Care Education/Training Program · Portland, OR

NPI number 1104450329 Active

Practice location

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011

Call (503) 494-8311 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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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About NPI 1104450329

Nicholas Dmytro Kendsersky, MD STUDENT's National Provider Identifier is 1104450329, issued on Feb 26, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Portland, OR. The record was last updated on Feb 26, 2020.