KENNETH PATRICK MCINNIS

BEAVERTON, OR
NPI1427079623
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: OR  6288)
Enumeration Date2006-07-22
Last Update Date2023-10-24
Business Address
Dr. KENNETH PATRICK MCINNIS D.M.D.
1791 NW 173RD AVE STE 130
BEAVERTON, OR 97006-5630
Phone number: 503-640-0395
Mailing Address
Dr. KENNETH PATRICK MCINNIS D.M.D.
1791 NW 173RD AVE STE 130
BEAVERTON, OR 97006-5630
Phone number: 503-640-0395
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