Kenneth K Mah (NPI# 1619075868, PAC ID# 4880692938) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1619075868 |
| PAC ID by PECOS | 4880692938 |
| Professional Enrollment ID | I20061128000111 |
| Full Name | Kenneth K Mah |
| Address |
4511 Se Hawthorne Blvd Portland OR 97215-3170 |
| Phone Number | 5032312980 |
| Gender | M |
| Credential | DPM |
| Medical School | CALIFORNIA COLLEGE PODIATRIC MEDICINE |
| Graduation Year | 1980 |
| Primary Specialty | PODIATRY |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 4511 Se Hawthorne Blvd, Portland, OR 97215-3170 | 5032312980 | |
| 4511 Se Hawthorne Blvd, Suite 103, Portland, OR 97215-3170 | 5032312980 |
| Street Address |
4511 SE HAWTHORNE BLVD |
| City | PORTLAND |
| State | OR |
| Zip | 97215-3170 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elsbeth J Martindale | Psychologist, Clinical | 5525 E Burnside St, Portland, OR 97215-1258 | |
| Katherine Y Calvert | Clinical Social Worker | 4531 Se Belmont St, Suite 203, Portland, OR 97215-1657 | |
| Nancy I Holmes | Psychologist, Clinical | 4531 Se Belmont St, Suite 203, Portland, OR 97215-1675 | |
| Neisha A Caldwell | Clinical Social Worker | 4531 Se Belmont St, Suite 203, Portland, OR 97215-1675 | |
| Theresa M Hines | Nurse Practitioner | Mt. Tabor Family Medical Group, PC | 5919 Se Belmont St, Portland, OR 97215-1925 |
| Allie R Dashiell | Chiropractic | 6040 Se Belmont St, Suite 1230, Portland, OR 97215-1974 | |
| Darcelle A Tetzlaff | Chiropractic | Ashton Chiropractic Center PC | 5939 Se Belmont St, Unit A, Portland, OR 97215-1994 |
| Jamie M Ellis | Chiropractic | Ashton Chiropractic Center | 5939 Se Belmont St A, Portland, OR 97215-1994 |
| Thomas J Walton | Chiropractic | Ashton Chiropractic Center PC | 5939 Se Belmont St, Unit A, Portland, OR 97215-1994 |
| Darah A Ashton | Chiropractic | Ashton Chiropractic Center PC | 5939 Se Belmont St, Unit A, Portland, OR 97215-1994 |
| Find all physicians in zip 97215 | |||
| City | PORTLAND |
| Zip Code | 97215 |
| Specialty | PODIATRY |
| City + Specialty | PORTLAND + PODIATRY |
Please comment or provide details below to improve the information on Kenneth K Mah.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.