Individual
DR. KELSIE JANELLE STORM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, MAIL CODE DC9R, PORTLAND, OR 97239-3011
(503) 494-9000
Mailing address
94 SE 73RD AVE, PORTLAND, OR 97215-1437
(360) 601-7326
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
LL17856
OR
Other
Enumeration date
12/13/2008
Last updated
01/25/2012
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