Kendall, Carmen G

Kendall, Carmen G is an individual health care provider with primary practice located at 5555 Ne Elam Young Pkwy , Hillsboro OR 97124-6452. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Kendall, Carmen G can be contacted via phone (503) 216-1600.

Contact Information

Primary practice address
5555 Ne Elam Young Pkwy Hillsboro OR 97124-6452
Phone: (503) 216-1600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD25543 Oregon

Profile Details

NPI number 1780639575
LBN Legal business name Kendall, Carmen G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2006
Last updated Oct 13th, 2021 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1780639575 NPPES
Oregon Other P00261172 RR MEDICARE
Oregon MEDICAID 022951 RR MEDICARE

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