KENNETH LEE RECKARD

TUALATIN, OR
NPI1083635916
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: OR  PA01082)
Enumeration Date2006-07-23
Last Update Date2021-12-01
Business Address
KENNETH LEE RECKARD PA-C
19250 SW 90TH AVE
TUALATIN, OR 97062-7585
Phone number: 503-692-3750
Mailing Address
KENNETH LEE RECKARD PA-C
847 NE 19TH AVE SUITE 300
PORTLAND, OR 97232-2684
Phone number: 503-963-2801