Individual
KELLEY RUTH WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
17055 RUBEN LN, SANDY, OR 97055-9276
(503) 668-8002
Mailing address
PO BOX 3777, PORTLAND, OR 97208-3777
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA213070
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
OR
Other
Enumeration date
02/21/2021
Last updated
07/09/2025
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