Individual
KELSEY E MCIRVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
514 SE 8TH AVE, HILLSBORO, OR 97123-4521
(503) 747-0669
Mailing address
PO BOX 16756, PORTLAND, OR 97292-0756
(971) 331-3276
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
12/05/2017
Last updated
12/05/2017
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