KEVIN R CARPENTER

GRESHAM, OR
NPI1578509980
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: OR  MD20344)
Enumeration Date2006-06-22
Last Update Date2021-02-18
Business Address
KEVIN R CARPENTER MD
440 NW DIVISION ST
GRESHAM, OR 97030-5506
Phone number: 503-215-9500
Mailing Address
KEVIN R CARPENTER MD
PO BOX 3158
PORTLAND, OR 97208-3158
Phone number: 503-215-6494
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