Individual
KELSEY KAVANAGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
1331 NW EASTMAN PKWY, GRESHAM, OR 97030-3825
(503) 261-4553
Mailing address
4419 SE MORRISON ST, PORTLAND, OR 97215-1641
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
391508
OR
Other
Enumeration date
04/19/2024
Last updated
04/19/2024
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