Individual
MRS. KELLI FARM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1793 13TH ST SE, SALEM, OR 97302-2541
(503) 362-8385
Mailing address
1793 13TH ST SE, SALEM, OR 97302-2541
(503) 362-8385
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201500296NP-PP
OR
Other
Enumeration date
01/16/2015
Last updated
07/17/2015
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