Kenneth K.S. Mah, D.P.M.
Podiatrist, Foot & Ankle Surgery in Beaverton, OR. Individual provider (NPI-1).
NPI number1619075868
StatusActive
Last updated in NPPESMar 19, 2008
Details
- NPI
- 1619075868
- Entity type
- Individual (NPI-1)
- Name
- Kenneth K.S. Mah
- Credential
- D.P.M.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 20, 2006
- Last updated
- Mar 19, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213ES0103X | Podiatrist, Foot & Ankle Surgery | DP144 | OR | Yes |
Practice location
14355 Sw Allen BlvdSuite 120
Beaverton, OR 97005-4700
Phone 503-643-1737 · Fax 503-643-4926
Mailing address
14355 Sw Allen BlvdSuite 120
Beaverton, OR 97005-4700
Phone 503-643-1737
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