KENNETH JASPERSE, AA

Specialist

Active Individual
NPI: 1265684187

Practice Address

4101 NE DIVISION ST # 100
Gresham, OR 97030

Phone: (503) 666-3808

Specialties

Specialty Code Primary License
Specialist 174400000X Yes -

Frequently Asked Questions

NPI 1265684187 is the National Provider Identifier for KENNETH JASPERSE, AA, a Specialist provider located in Gresham, OR. This NPI was enumerated on October 22, 2008.
KENNETH JASPERSE, AA practices at 4101 NE DIVISION ST # 100, Gresham, OR 97030.

Quick Facts

NPI
1265684187
Type
Individual
Enumerated
Oct 22, 2008
Last Updated
Oct 22, 2008

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