Kernberg, Annessa Sarah

Kernberg, Annessa Sarah is an individual health care provider with primary practice located at 3181 Sw Sam Jackson Park Rd , Portland OR 97239-3011. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine, Allopathic & Osteopathic Physicians / Clinical Informatics. Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine is her primary health care specialty. Kernberg, Annessa Sarah can be contacted via phone (503) 418-4200.

Contact Information

Primary practice address
3181 Sw Sam Jackson Park Rd Portland OR 97239-3011
Phone: (503) 418-4200
Fax: (503) 494-4473
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X MD61284509 Washington
Allopathic & Osteopathic Physicians / Clinical Informatics 2083C0008X MD182302 Oregon
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X MD182302 Oregon

Profile Details

NPI number 1881089944
LBN Legal business name Kernberg, Annessa Sarah
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 5th, 2015
Last updated Jul 16th, 2024 - about 4 months 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 1881089944 NPPES
Missouri MEDICAID 200071509

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