Individual
KELSEY NICKOLE JIPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3876 BEVERLY AVE NE, SALEM, OR 97305-1319
(503) 576-4536
Mailing address
1065 18TH ST SE, SALEM, OR 97302-1313
(503) 999-7244
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
10/03/2022
Last updated
10/03/2022
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