Individual
KRISTIN BEGG REVELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6801 SE 60TH AVE, PORTLAND, OR 97206-7520
(503) 916-5817
Mailing address
6678 SW 23RD PL, PORTLAND, OR 97219-5569
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
201142998RN
OR
Other
Enumeration date
12/04/2025
Last updated
12/04/2025
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