Individual provider · Type 1 NPI

Kendall Hall

Medical Physician Assistant · Tigard, OR

NPI number 1790379733 Active

Practice location

12123 SW 69th Ave
Tigard, OR 97223-8514

Mailing address

1498 SE Tech Center Pl Ste 240
Vancouver, WA 98683-5508

Other practice locations

  • 2730 S Moody Ave, Portland, OR 97201-5042 · (503) 494-3633

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA211820 (OR)

Medical Physician Assistant: Definition to come...

23 other providers at this address

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About NPI 1790379733

Kendall Hall's National Provider Identifier is 1790379733, issued on Feb 20, 2021. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Tigard, OR. The record was last updated on Oct 7, 2024.