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1124357678
KATHLEEN M HENNESSY
BEAVERTON, OR
NPI
1124357678
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
247100000X Radiologic Technologist
(Licence: OR 146154)
Enumeration Date
2009-12-11
Last Update Date
2009-12-11
Business Address
-- KATHLEEN M HENNESSY
6160 SW ARCTIC DR
BEAVERTON, OR 97005-9448
Phone number: 503-646-7777
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Mailing Address
-- KATHLEEN M HENNESSY
PO BOX 66500
PORTLAND, OR 97290-6500
Phone number: 503-657-8663
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