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Dr. Jonathan Robert Kemp, MD

Ophthalmology in Portland, OR. Individual provider (NPI-1).

NPI number1245212901
StatusActive
Last updated in NPPESFeb 20, 2021

Details

NPI
1245212901
Entity type
Individual (NPI-1)
Name
Dr. Jonathan Robert Kemp
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Nov 17, 2005
Certification date
Feb 20, 2021
Last updated
Feb 20, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207W00000X OphthalmologyMD21001ORYes

Practice location

10819 Se Stark St
Suite 200
Portland, OR 97216-3161

Phone 503-255-2291 · Fax 503-252-1797

Mailing address

Po Box 22009
Portland, OR 97269-2009

Phone 503-558-7372 · Fax 503-344-5140

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