Kennedy Edward Anoe, LMT
Mechanotherapist in Portland, OR. Individual provider (NPI-1).
NPI number1225292691
StatusActive
Last updated in NPPESJul 15, 2008
Details
- NPI
- 1225292691
- Entity type
- Individual (NPI-1)
- Name
- Mr. Kennedy Edward Anoe
- Credential
- LMT
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 15, 2008
- Last updated
- Jul 15, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172M00000X | Mechanotherapist | 14012 | OR | Yes |
Practice location
9500 Sw Barbur BlvdSuite 115
Portland, OR 97219-5466
Phone 503-781-8729
Mailing address
9500 Sw Barbur BlvdSuite 115
Portland, OR 97219-5466
Phone 503-781-8729
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