Provider Demographics
NPI:1457755886
Name:BLOSSER, KENDRA LAURY (PA-C)
Entity type:Individual
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First Name:KENDRA
Middle Name:LAURY
Last Name:BLOSSER
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:17355 LOWER BOONES FERRY RD
Mailing Address - Street 2:STE 100A
Mailing Address - City:LAKE OSWEGO
Mailing Address - State:OR
Mailing Address - Zip Code:97035-2839
Mailing Address - Country:US
Mailing Address - Phone:503-224-8399
Mailing Address - Fax:503-224-5661
Practice Address - Street 1:17355 LOWER BOONES FERRY RD
Practice Address - Street 2:STE 100A
Practice Address - City:LAKE OSWEGO
Practice Address - State:OR
Practice Address - Zip Code:97035-2839
Practice Address - Country:US
Practice Address - Phone:503-224-8399
Practice Address - Fax:503-224-5661
Is Sole Proprietor?:No
Enumeration Date:2014-10-14
Last Update Date:2025-08-25
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant