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Individual

MATTHEW EWING KELM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1942 SHERIDAN AVE, NORTH BEND, OR 97459-3416
(458) 895-4974
Mailing address
1942 SHERIDAN AVE, NORTH BEND, OR 97459-3416
(458) 895-4974

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
THW000108871
OR

Other

Enumeration date
05/24/2023
Last updated
05/24/2023
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