Individual
DR. KELLY DAWN BLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4855 SW WESTERN AVE, BEAVERTON, OR 97005-3460
(503) 350-2408
(503) 350-2438
Mailing address
4855 SW WESTERN AVE, BEAVERTON, OR 97005-3460
(503) 350-2408
(503) 350-2438
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD20692
OR
Other
Enumeration date
10/04/2006
Last updated
05/20/2025
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