Individual
KELSEA DELEGATO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3543 NE BROADWAY ST, PORTLAND, OR 97232-1820
(971) 351-2270
Mailing address
3241 NE BROADWAY ST, PORTLAND, OR 97232-1814
(503) 282-1812
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
21445
OR
Other
Enumeration date
07/20/2015
Last updated
09/20/2024
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