Individual
KELSEY ROSE HUPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
111 W C ST, SILVERTON, OR 97381-1458
(503) 874-4747
(503) 874-4638
Mailing address
111 W C ST, SILVERTON, OR 97381-1458
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201350091NP
OR
Other
Enumeration date
10/24/2012
Last updated
09/25/2018
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