MCCRAE NATHANIAL KENNEY

PORTLAND, OR
NPI1033088455
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2025-11-03
Last Update Date2025-11-03
Business Address
MCCRAE NATHANIAL KENNEY
18766 SE STARK ST
PORTLAND, OR 97233-5330
Phone number: 503-650-8605
Mailing Address
MCCRAE NATHANIAL KENNEY
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number: 503-238-0769