Individual
ELIZABETH MARIE KILTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
52195 E TERRA FERN DR, SANDY, OR 97055-7402
(971) 322-9507
Mailing address
52195 E TERRA FERN DR, SANDY, OR 97055-7402
(971) 322-9507
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
201505411RN
OR
Other
Enumeration date
09/30/2015
Last updated
09/30/2015
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