Individual
CARLTON ANDREW KELCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
3025 SW CORBETT AVE, PORTLAND, OR 97201-4858
(503) 552-1551
Mailing address
2150 NW HILL ST APT 3, BEND, OR 97703-1373
(970) 406-1019
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC183849
OR
Other
Enumeration date
09/11/2017
Last updated
05/27/2021
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