Individual
KELSEY DECAMPOS - STAIRIKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9135 SW BARNES RD STE 961, PORTLAND, OR 97225-6699
(503) 292-0848
(503) 296-0635
Mailing address
14700 NE PRAIRIE VIEW CT, AURORA, OR 97002-9513
(503) 758-7191
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
AT4770
OR
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/04/2024
Last updated
06/17/2025
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