IndividualActive
Kathleen Hennessy
NPI 1124357678 · Radiologic Technologist · Beaverton, OR
Provider details
- NPI number
- 1124357678
- Entity type
- Individual
- Primary specialty
- Radiologic TechnologistTechnologists, Technicians & Other Technical Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 146154 (OR)
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Practice location
6160 Sw Arctic Dr
Beaverton, OR 97005-9448
Phone: (503) 646-7777
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 66500
Portland, OR 97290-6500
Registry dates
- Enumerated
- 2009-12-11
- Last updated
- 2009-12-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.