Individual
KELSEY ANNE OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
601 MEDICAL PKWY, ENTERPRISE, OR 97828-5124
(503) 781-6467
Mailing address
PO BOX 268, ENTERPRISE, OR 97828-0268
(503) 781-6467
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/09/2022
Last updated
09/09/2022
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