Kenneth Lee Reckard, PA-C

NPI #1083635916 in Tualatin, Oregon

Provider Information

NPI Number
1083635916
Entity Type
Individual
Name
Kenneth Lee Reckard, PA-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant - Medical
Credential
PA-C
Enumeration Date
Jul 23, 2006
Last Updated
Dec 1, 2021

Practice Location

Address
19250 SW 90TH AVE
State
Oregon
ZIP Code
97062-7585
Phone
(503) 692-3750

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical

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