Individual
KELSEY VOISIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7545 SW CRESTVIEW ST, TIGARD, OR 97223-8206
(803) 316-2597
Mailing address
7545 SW CRESTVIEW ST, TIGARD, OR 97223-8206
(803) 316-2597
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
199019
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1167875
NCCPA
—
01
—
199019
OREGON MEDICAL BOARD
OR
Enumeration date
03/01/2021
Last updated
03/01/2021
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