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Alice Kennerly — NPI 1720815970, Portland, OR | NPI Central

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NPI 1720815970

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Alice Kennerly

NPI 1720815970 · Doula · Portland, OR

Provider details

NPI number: 1720815970
Entity type: Individual
Primary specialty: DoulaNursing Service Related Providers
Sex: Female
Sole proprietor: Yes
License: 112218 (OR)

Specialties & taxonomies

DoulaPrimary374J00000XLicense 112218 (OR)
Nursing Service Related Providers

Practice location

10153 Nw 107th Ave

Portland, OR 97231-1017

Phone: (503) 310-5694

Approximate (ZIP-level) locationGet directions

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Mailing address

10153 Nw 107th Ave

Portland, OR 97231-1017

Registry dates

Enumerated: 2024-09-19
Last updated: 2024-09-19
Certified: 2024-09-12

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.