Individual
MRS. M.KELLY SIEVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
9205 SW BARNES RD, PORTLAND, OR 97225-6603
(503) 216-1234
Mailing address
2445 NW WESTOVER RD, #210, PORTLAND, OR 97210-3149
(971) 544-0165
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
OR
Other
Enumeration date
08/15/2006
Last updated
07/21/2022
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