Individual
KELSEY ENDERBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QMHA
Contact information
Practice address
5240 NE ELAM YOUNG PKWY STE 100, HILLSBORO, OR 97124-6438
(503) 846-4555
(503) 846-3305
Mailing address
5240 NE ELAM YOUNG PKWY STE 100, HILLSBORO, OR 97124-6438
(503) 846-4555
(503) 846-3305
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
21-QMHA-R-1169
OR
Other
Enumeration date
11/29/2021
Last updated
11/29/2021
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