NPI 1033088455
McCrae Nathanial Kenney
Practice location
- Address
- 18766 SE Stark St, Portland, OR 97233-5330
- Phone
- (503) 650-8605
- Fax
- (503) 650-8605
- Mailing address
- PO Box 8459, Portland, OR 97207-8459
Registered specialties
Personal Care Attendant
Primary
Registry record
- NPI
- 1033088455
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 3 Nov 2025
- Record last updated
- 3 Nov 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.