Individual
KELLI CORDOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5281 NW WICKIUP WAY, PORTLAND, OR 97229-7160
(503) 430-0625
Mailing address
5281 NW WICKIUP WAY, PORTLAND, OR 97229-7160
(503) 430-0625
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
—
OR
Other
Enumeration date
12/27/2007
Last updated
12/27/2007
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