Individual
DR. KELLIE SCHENK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8950 SW NIMBUS AVE, BEAVERTON, OR 97008-7478
(503) 253-1105
Mailing address
233 NE 102ND AVE, PORTLAND, OR 97220-4106
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
50087
CT
2085R0202X
Diagnostic Radiology Physician
Primary
MD165494
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/21/2009
Last updated
08/26/2015
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