Individual
KELSEY STREETER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP, FNP
Contact information
Practice address
9900 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-9777
(503) 652-2880
Mailing address
500 NE MULTNOMAH ST STE 100, PORTLAND, OR 97232-2031
(800) 813-2000
(855) 524-5255
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
202111760NP-PP
OR
363L00000X
Nurse Practitioner
AP61491673
WA
363LF0000X
Family Nurse Practitioner
202111760NP-PP
OR
363LF0000X
Family Nurse Practitioner
AP61491673
WA
Other
Enumeration date
06/10/2022
Last updated
12/16/2025
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