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Individual

DR. KELLI WESTCOTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
10123 SE MARKET ST, PORTLAND, OR 97216-2532
(503) 252-2004
Mailing address
PO BOX 5275, PORTLAND, OR 97208-5275
(888) 828-3196

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
A67032
CA
207P00000X
Emergency Medicine Physician
Primary
MD26050
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
005841
OR
01
219191
WA L & I
05
8450124
WA
01
858543025
REGENCE BC/BS
01
K854468
PACIFIC SOURCE
01
P00298813
RAILROAD MEDICARE
Enumeration date
05/11/2006
Last updated
12/17/2018
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