DR. Kenneth Michael Ettinger, M.D.

NPI #1972617330 in Portland, Oregon

Provider Information

NPI Number: 1972617330
Entity Type: Individual
Name: DR. Kenneth Michael Ettinger, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Allergy & Immunology
Credential: M.D.
Enumeration Date: Aug 19, 2006
Last Updated: Feb 4, 2022

Practice Location

Address: 3550 N INTERSTATE AVE
City: Portland
State: Oregon
ZIP Code: 97227-1196
Phone: (503) 285-9321

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Allergy & Immunology	207K00000X	Primary

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