Individual
KEVIN RODNEY ELMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
627 NE 7TH STREET, MCMINNVILLE, OR 97128
(503) 434-7523
Mailing address
627 NE 7TH STREET, MCMINNVILLE, OR 97128
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
06/01/2022
Last updated
06/01/2022
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