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1770599185
KENNETH ALAN ENSROTH
OREGON CITY, OR
NPI
1770599185
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry
(Licence: OR MD22953)
Enumeration Date
2006-07-31
Last Update Date
2021-03-09
Business Address
KENNETH ALAN ENSROTH MD
1500 DIVISION ST CHILD CLINIC
OREGON CITY, OR 97045-1527
Phone number: 503-722-3700
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Mailing Address
KENNETH ALAN ENSROTH MD
PO BOX 3158
PORTLAND, OR 97208-3158
Phone number: 503-722-3700
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