IndividualActive
Jeremy Kenison, D.O.
NPI 1386087534 · Family Medicine Physician · Sisters, OR
Provider details
- NPI number
- 1386087534
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- License
- OP 60502641 (WA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Student, Health Care
Practice location
630 N Arrowleaf Trl
Sisters, OR 97759-2610
Phone: (541) 549-1318
Fax: (541) 588-6002
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 6095
Bend, OR 97708-6095
Additional practice locations (1)
- 1 Boone RdBremerton, WA 98312-1894Phone: (360) 475-4216
Registry dates
- Enumerated
- 2013-04-08
- Last updated
- 2023-10-02
- Certified
- 2023-10-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.