IndividualActive
Marshal Kennedy, DPM
NPI 1639398845 · Podiatrist · Gresham, OR
Provider details
- NPI number
- 1639398845
- Entity type
- Individual
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- DPM
- Sex
- Male
- Sole proprietor
- Yes
- License
- DP00139 (OR)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Practice location
2775 Se Powell Valley Rd
Gresham, OR 97080-1475
Phone: (503) 667-7789
Fax: (503) 667-2032
Approximate (ZIP-level) locationGet directions
Mailing address
2775 Se Powell Valley Rd
Gresham, OR 97080-1475
Registry dates
- Enumerated
- 2007-04-25
- Last updated
- 2013-11-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.