Individual
MISS KELLIE RENEE GRAHAM WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3303 SW BOND AVE STE 9, PORTLAND, OR 97239-4501
(503) 494-7400
(503) 494-4749
Mailing address
3303 SW BOND AVE STE 9, PORTLAND, OR 97239-4501
(503) 494-7400
(503) 494-4749
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201809498NP-PP
OR
Other
Enumeration date
08/29/2017
Last updated
01/17/2025
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