Marshal T Kennedy (NPI# 1639398845, PAC ID# 4880851088) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
Nation Provider ID (NPI) | 1639398845 |
PAC ID by PECOS | 4880851088 |
Professional Enrollment ID | I20120131000045 |
Full Name | Marshal T Kennedy |
Address |
2775 Se Powell Valley Rd Gresham Foot Clinic Gresham OR 97080-1475 |
Phone Number | 5036677789 |
Gender | M |
Medical School | CALIFORNIA COLLEGE PODIATRIC MEDICINE |
Graduation Year | 1981 |
Primary Specialty | PODIATRY |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
2775 Se Powell Valley Rd, Gresham Foot Clinic, Gresham, OR 97080-1475 | 5036677789 |
Street Address |
2775 SE POWELL VALLEY RD GRESHAM FOOT CLINIC |
City | GRESHAM |
State | OR |
Zip | 97080-1475 |
Name | Specialty | Organization | Address |
---|---|---|---|
Jonathan O Chrystal | Psychologist, Clinical | Western Psychological and Counseling Services PC | 2222 E Powell Blvd, Gresham, OR 97080-1365 |
Grant E Hart | Psychologist, Clinical | Western Psychological and Counseling Services PC | 2222 E Powell Blvd, Gresham, OR 97080-1365 |
Kimberly A Sabin | Nurse Practitioner | Western Psychological and Counseling Services PC | 2222 E Powell Blvd, Gresham, OR 97080-1365 |
Jeffrey Anders Albing | Chiropractic | Valleyview Injury and Physical Medicine PC | 2850 Se Powell Valley Rd, Suite 205, Gresham, OR 97080-1489 |
Kelly J Yakiwchuk | Chiropractic | Valleyview Injury and Physical Medicine PC | 2850 Se Powell Valley Rd, Suite 205, Gresham, OR 97080-1489 |
Brookley V Holter | Physician Assistant | Valleyview Injury and Physical Medicine PC | 2850 Se Powell Valley Rd, Suite 205, Gresham, OR 97080-1489 |
Benjamin L Heath | Chiropractic | Valleyview Injury and Physical Medicine PC | 2850 Se Powell Valley Rd, Suite 205, Gresham, OR 97080-1489 |
Lionel P Marx | Physician Assistant | Legacy Clinics LLC | 2850 Se Powell Valley Rd, Gresham, OR 97080-1494 |
Sommer D Verley | Nurse Practitioner | Legacy Clinics LLC | 2850 Se Powell Valley Rd, Gresham, OR 97080-1494 |
Alma Sophia Draper | Nurse Practitioner | Legacy Clinics LLC | 2850 Se Powell Valley Rd, Gresham, OR 97080-1494 |
Find all physicians in zip 97080 |
City | GRESHAM |
Zip Code | 97080 |
Specialty | PODIATRY |
City + Specialty | GRESHAM + PODIATRY |
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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.