Kerensky, Marcia M
Kerensky, Marcia M is an individual health care provider with primary practice located at 2400 Sw Vermont St , Portland OR 97219-1940. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Kerensky, Marcia M can be contacted via phone (503) 452-0915.Contact Information
Primary practice address
2400 Sw Vermont St
Portland OR 97219-1940
Phone: (503) 452-0915
Fax: (503) 768-9232
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD16947 | Oregon |
Profile Details
| NPI number | 1053311670 |
|---|---|
| LBN Legal business name | Kerensky, Marcia M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 26th, 2005 |
| Last updated | Sep 28th, 2011 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053311670 | NPPES |
| Oregon | MEDICAID | 060413 |
Popular Providers
-
Creitz, Bonnie J
2400 Sw Vermont St , Portland OR 97219-1940 -
Coodley, Gregg O
2400 Sw Vermont St , Portland OR 97219-1940 -
Valerio, Donald A
2400 Sw Vermont St , Portland OR 97219-1940 -
Levitte, Marc G
2400 Sw Vermont St , Portland OR 97219-1940 -
Bakis, Gennadiy
1111 Ne 99Th Ave Ste 301 , Portland OR 97220-9442 -
Mondragon, Cristina Fe G
800 Sw 13Th Ave , Portland OR 97205-1902 -
Gragnola, Thomas G
9555 Sw Barnes Rd Suite 255 , Portland OR 97225 -
Demetrion, George B
2400 Sw Vermont St , Portland OR 97219-1940