Individual
DR. KELLY STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
5825 NE RAY CIR, HILLSBORO, OR 97124-6436
(503) 614-1428
Mailing address
11925 SW CENTER ST APT 46, BEAVERTON, OR 97005-4641
(719) 359-6361
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
64962
OR
Other
Enumeration date
07/11/2023
Last updated
07/11/2023
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