Kevin Mark Senn in Portland - Neurodevelopmental Disabilities
Kevin Mark Senn - NPI 1013973668
Kevin Mark Senn is a Neurodevelopmental Disabilities in Portland, Oregon. Kevin Mark Senn practices all healthcare services and medical treatments related to Neurodevelopmental Disabilities. The NPI Number for Kevin Mark Senn is 1013973668. The last update date is 2011-01-11.
Kevin Mark Senn's current location address is 707 Sw Gaines St., Portland, Oregon. You can contact this provider via phone number 5034941619 and fax number 5034946868. The mailing address for Kevin Mark Senn is 707 Sw Gaines St., Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kevin Mark Senn |
|---|---|
| Address | 707 Sw Gaines St., Portland, Oregon |
| Phone Number | 5034941619 |
| Fax Number | 5034946868 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1013973668 |
|---|---|
| Provider Enumeration Date | 2006-04-24 |
| Last Updated Date | 2011-01-11 |
Provider Mailing Address Detail
| Address | 707 Sw Gaines St. |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972393098 |
| Phone Number | 5034941619 |
| Fax Number | 5034946868 |
Provider's Primary Taxonomy Detail
| Speciality | Neurodevelopmental Disabilities |
|---|---|
| Taxonomy | 2080P0008X |
| Licence No | 183438 |
|
Definition: A pediatrician who specializes in the treatment of individuals with developmental delays and learning disorders associated with cerebral palsy, spina bifida, autism, and other chronic neurologic conditions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 183438 | NY | LICENSE | |
| 40426000235 | FIDELIS | ||
| 18547990001 | PA | -- | |
| 1402900 | NY | -- | |
| 10162101 | UNIVERA | ||
| 511836003 | BC/BS | ||
| 40426000240 | FIDELIS | ||
| 1205731 | IHA |
Post Comment/ Review Below
Can you provide the Kevin Mark Senn's physical address?
The Kevin Mark Senn is physically located at 707 Sw Gaines St., in the city of Portland, OR, with the postal code 972393098.
Could you please provide the complete street address where Kevin Mark Senn is physically located?
The Kevin Mark Senn is physically situated at the following address: 707 Sw Gaines St., Portland, OR, 972393098.
What is the Kevin Mark Senn's area of specialization and corresponding taxonomy classification?
The Kevin Mark Senn's specialty field is Neurodevelopmental Disabilities, and it falls under the taxonomy code 2080P0008X, which categorizes healthcare providers based on their specialties.
When did the Kevin Mark Senn receive its 1013973668?
The Kevin Mark Senn was issued its 1013973668 on 2006-04-24, which is the date when the organization was assigned this unique identifier.
On what date did the Kevin Mark Senn receive its 1013973668 assignment from the Centers for Medicare & Medicaid Services?
The Kevin Mark Senn was assigned its 1013973668 by the Centers for Medicare & Medicaid Services on 2006-04-24.