Senn, Kevin Mark

Senn, Kevin Mark is an individual health care provider with primary practice located at 707 Sw Gaines St. Cdrc, Portland OR 97239-3098. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics, Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Senn, Kevin Mark can be contacted via phone (503) 494-1619.

Contact Information

Primary practice address
707 Sw Gaines St. Cdrc Portland OR 97239-3098
Phone: (503) 494-1619
Fax: (503) 494-6868
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 183438 New York
Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics 2080P0006X 153312 Oregon
Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities 2080P0008X 183438 New York

Profile Details

NPI number 1013973668
LBN Legal business name Senn, Kevin Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2006
Last updated Jan 11th, 2011 - about 13 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 1013973668 NPPES
New York Other 183438 LICENSE
New York Other 040426000235 LICENSE
New York MEDICAID 0018547990001 LICENSE
New York MEDICAID 01402900 LICENSE
New York Other 00010162101 LICENSE
New York Other 000511836003 LICENSE
New York Other 040426000240 LICENSE
New York Other 1205731 LICENSE

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