Kevin Mark Senn
MD | Pediatrics | Male
Kevin Mark Senn, MD is a Portland, Oregon based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Kevin Mark Senn is
707 Sw Gaines St., Cdrc, Portland, Oregon - 97239-3098. He can be contacted on phone at
503-494-1619 and fax number 503-494-6868.
Kevin Mark Senn is a sole proprietor of his business.
NPI number (Unique professional ID) for Kevin Mark Senn is
1013973668 which was assigned by NPPES on 24 Apr, 2006 and it was last updated on 11 Jan, 2011.
Kevin Mark Senn license number is
183438 for Pediatrics (208000000X) in New York.
Kevin Mark Senn is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Kevin Mark Senn basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Kevin Mark Senn |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Kevin Mark Senn address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 707 Sw Gaines St., Cdrc
Portland, OR, 97239-3098
United States |
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| Phone Number : | 503-494-1619 |
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| Fax Number : | 503-494-6868 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1013973668 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 24 Apr, 2006 |
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| Last Updated On : | 11 Jan, 2011 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kevin Mark Senn are as mentioned. Primary taxonomy code for Kevin Mark Senn, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080P0006X | Pediatrics Developmental - Behavioral Pediatrics | No | 153312 | OR |
| 2080P0008X | Pediatrics Neurodevelopmental Disabilities | No | 183438 | NY |
| 208000000X | Pediatrics | Yes | 183438 | NY |
Legacy Identifiers:
Other legacy medical identifiers of Kevin Mark Senn such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 0018547990001 | MEDICAID | PA | |
| 00010162101 | Other | | UNIVERA |
| 000511836003 | Other | | BC/BS |
| 1205731 | Other | | IHA |
| 01402900 | MEDICAID | NY | |
| 040426000235 | Other | | FIDELIS |
| 040426000240 | Other | | FIDELIS |
| 183438 | Other | NY | LICENSE |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 707 Sw Gaines St., Cdrc
Portland, OR, 97239-3098
United States |
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| Phone Number : | 503-494-1619 |
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| Fax Number : | 503-494-6868 |
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Business Location:
Patients can refer following map for directions to
Kevin Mark Senn practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.