Individual provider · Type 1 NPI

Sharon D. Kennedy, NP

General Practice Registered Nurse · Portland, OR

NPI number 1316977903 Active

Practice location

4805 NE Glisan St, 3E
Portland, OR 97213-2933

Fax (503) 215-6644

Mailing address

PO Box 4949
Portland, OR 97208-4949

Specialties and licenses

TaxonomyCodeLicense
General Practice Registered Nurse Primary 163WG0000XNone listed

General Practice Registered Nurse: Definition to come...

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About NPI 1316977903

Sharon D. Kennedy, NP's National Provider Identifier is 1316977903, issued on Jul 3, 2006. The primary taxonomy on file is General Practice Registered Nurse (163WG0000X), and the practice location is in Portland, OR. The record was last updated on Jul 8, 2007.