Individual
KELLY NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
4455 NE HWY 20 CORVALLIS, CORVALLIS, OR 97330
(541) 758-5900
Mailing address
3415 SE POWELL BLVD, PORTLAND, OR 97202-3371
Taxonomy
Speciality
Code
Description
License number
State
225500000X
Respiratory/Developmental/Rehabilitative Specialist/Technologist
Primary
—
—
Other
Enumeration date
05/14/2025
Last updated
05/14/2025
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