Kathleen M Hennessy

NPI #1124357678 in Beaverton, Oregon

Provider Information

NPI Number: 1124357678
Entity Type: Individual
Name: Kathleen M Hennessy
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Radiologic Technologist
Enumeration Date: Dec 11, 2009
Last Updated: Dec 11, 2009

Practice Location

Address: 6160 SW ARCTIC DR
City: Beaverton
State: Oregon
ZIP Code: 97005-9448
Phone: (503) 646-7777

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Radiologic Technologist	247100000X	Primary

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