Kennedy, William J

Kennedy, William J is an individual health care provider with primary practice located at 6410 Ne Halsey St Ste 300, Portland OR 97213-4742. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Kennedy, William J can be contacted via phone (503) 215-4691.

Contact Information

Primary practice address
6410 Ne Halsey St Ste 300 Portland OR 97213-4742
Phone: (503) 215-4691
Fax: (503) 215-4846
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A10208 California
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X A10208 California
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X DO28974 Oregon

Profile Details

NPI number 1467431452
LBN Legal business name Kennedy, William J
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2006
Last updated Oct 8th, 2009 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467431452 NPPES
Oregon MEDICAID 500609867

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