Individual
MS. KELLY ELIZABETH EDENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
11860 SW QUEEN ELIZABETH ST, TIGARD, OR 97224-2634
(503) 537-7588
Mailing address
11860 SW QUEEN ELIZABETH ST, TIGARD, OR 97224-2634
(503) 537-7588
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/18/2020
Last updated
12/18/2020
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