Individual
KELLEN EARL PLOMSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD, MPH
Contact information
Practice address
12100 SE STEVENS CT STE 106, CLACKAMAS, OR 97086-4707
(800) 813-2000
Mailing address
500 NE MULTNOMAH ST STE 100, PORTLAND, OR 97232-2031
(800) 813-2000
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4447ATI
OR
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
05/01/2019
Last updated
01/14/2026
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