Individual
KELSEY LINDE RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3181 SW SAM JACKSON HALL RD, PORTLAND, OR 97239
(503) 494-4265
Mailing address
3181 SW SAM JACKSON HALL RD, PORTLAND, OR 97239
(503) 494-4265
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
ML60224535
WA
2080P0210X
Pediatric Nephrology Physician
Primary
MD182992
OR
Other
Enumeration date
03/20/2011
Last updated
07/21/2022
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