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General NPI Number Information
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NPI Number | 1134654817
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Entity Type | Individual
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Provider Name | KEVIN FRANCIONI
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Gender | Male
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Dates
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Enumeration Date | 05/01/2017
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Last Update Date | 03/28/2023
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Provider Practice Location Address
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Address Line | 700 NE 87TH AVE STE 130
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City | VANCOUVER
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State | WA
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Zip | 98664-4896
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Country | US
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Telephone | 360-882-2778
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 4825
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City | PORTLAND
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State | OR
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Zip | 97208-4825
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Country | US
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Telephone | 360-882-2778
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | BP10059344
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | MD61104698
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License Number State | WA
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