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KEVIN R CARPENTER MD

Individual Provider (NPI-1) Active

Family Medicine

Provider Information

NPI Number
1578509980
Provider Type
Individual Provider (NPI-1)
Credentials
MD
Status
Active

Contact & Location

Address
440 NW DIVISION ST, GRESHAM, OR, 970305506
Phone
(503) 215-9500
Fax
(503) 215-9525

Specialties & Taxonomies

Family Medicine Primary License: OR #MD20344

All Addresses

LOCATION

440 NW DIVISION ST

GRESHAM, OR, 970305506

(503) 215-9500

MAILING

PO BOX 3158

PORTLAND, OR, 972083158

(503) 215-6494