Individual
KELLI KAY BROESSEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
110 BEAVERCREEK RD STE 102, OREGON CITY, OR 97045-4307
(971) 204-8424
(503) 946-3046
Mailing address
2264 NE THORNCROFT DR APT 434, HILLSBORO, OR 97124-9030
(517) 930-0615
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0018527
OR
Other
Enumeration date
09/09/2021
Last updated
09/09/2021
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