Individual
DR. KELSEY SANDAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD,OTR/L
Contact information
Practice address
685 36TH AVE NE, SALEM, OR 97301-4741
(503) 371-8860
(503) 371-8772
Mailing address
2843 MAIN ST APT B, FOREST GROVE, OR 97116-3080
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
410708
OR
Other
Enumeration date
08/30/2018
Last updated
11/15/2019
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