Individual
KELLI A KOLSTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
501 N GRAHAM ST, SUITE 300, PORTLAND, OR 97227-1654
(530) 400-9753
Mailing address
501 N GRAHAM ST, SUITE 300, PORTLAND, OR 97227-1654
(530) 400-9753
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
201392700NP-PP
OR
363LP0200X
Pediatric Nurse Practitioner
AP60261020
WA
Other
Enumeration date
05/27/2012
Last updated
11/19/2013
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