Individual
KELSEY MEJIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1920 NW AMBERGLEN PKWY, SUITE 150, BEAVERTON, OR 97006-6980
(971) 327-4356
(971) 228-2177
Mailing address
1920 NW AMBERGLEN PKWY, SUITE 150, BEAVERTON, OR 97006-6980
(971) 327-4356
(971) 228-2177
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
247200000X
TAXONOMY/#24 TECHNICIAN
OR
Enumeration date
01/09/2014
Last updated
01/09/2014
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