Individual
ANABEL ELIZABETH KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3181 SW SAM JACKSON PKWY, CDW6, PORTLAND, OR 97239
(503) 494-4808
Mailing address
3181 SW SAM JACKSON PKWY, CDW6, PORTLAND, OR 97239
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
201802291RN
OR
Other
Enumeration date
09/21/2023
Last updated
09/21/2023
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