Individual
KELLEY REBECCA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, RN, CPNP-PC
Contact information
Practice address
300 N GRAHAM ST STE 420, PORTLAND, OR 97227-1667
(503) 276-6138
Mailing address
300 N GRAHAM ST STE 420, PORTLAND, OR 97227-1667
(503) 276-6138
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
202000767NP-PP
OR
Other
Enumeration date
03/05/2019
Last updated
06/24/2025
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