Kennedy, Gerald L
Kennedy, Gerald L is an sole proprietor health care provider with primary practice located at 3506 N Lombard St , Portland OR 97217-5902. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Kennedy, Gerald L can be contacted via phone (503) 289-0230.Contact Information
Primary practice address
3506 N Lombard St
Portland OR 97217-5902
Phone: (503) 289-0230
Fax: (503) 286-5055
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 6716 | Oregon |
Profile Details
| NPI number | 1295725406 |
|---|---|
| LBN Legal business name | Kennedy, Gerald L |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 27th, 2005 |
| Last updated | Oct 30th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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