Individual provider · Type 1 NPI
Amy Owens Kenagy, NP
Pediatric Nurse Practitioner · Portland, OR
NPI number
1568407633
Active
Practice location
3181 SW Sam Jackson Park Rd, UHS-2
Portland, OR 97239-3011
Fax (503) 494-8368
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | None listed |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1568407633
Amy Owens Kenagy, NP's National Provider Identifier is 1568407633, issued on Jun 20, 2006. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Portland, OR. The record was last updated on Jul 16, 2007.