Individual
KELLIE WILSON EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2265 EXCHANGE ST, ASTORIA, OR 97103-3331
(503) 338-7595
(503) 325-4905
Mailing address
2111 EXCHANGE ST, ASTORIA, OR 97103-3329
(503) 325-4321
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD190406
OR
Other
Enumeration date
03/30/2009
Last updated
02/10/2022
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