Individual
KELLER ELIZABETH KENDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
OREGON STATE UNIVERSITY, STUDENT HEALTH, 201 PLAGEMAN, CORVALLIS, OR 97331-5801
(541) 737-3106
(541) 737-4530
Mailing address
OREGON STATE UNIVERSITY, STUDENT HEALTH, 201 PLAGEMAN, CORVALLIS, OR 97731-5801
(541) 737-3106
(541) 737-4530
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
098006564N1 FNP PP
OR
Other
Enumeration date
09/28/2006
Last updated
07/08/2007
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