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Individual

KELSEY A WRAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
799 LONG ST, SWEET HOME, OR 97386-3304
(541) 367-3888
(541) 367-2407
Mailing address
530 NW 27TH ST, CORVALLIS, OR 97330-5223
(541) 766-6835
(541) 766-6186

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary

Other

Enumeration date
12/27/2017
Last updated
12/27/2017
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