Individual
INGRID DANIELA SCHLECHTER-KEENAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
900 N LOMBARD STREET, PORTLAND, OR 97203
(503) 988-3663
(503) 988-3015
Mailing address
421 SW OAK ST, STE.210, PORTLAND, OR 97204-1817
(503) 988-3663
(503) 988-3015
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
22959
—
OR
Enumeration date
10/17/2006
Last updated
03/12/2013
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