Individual
KELSEY ASHLYN KHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3098
(403) 494-8311
Mailing address
1400 SW 5TH AVE STE 500, PORTLAND, OR 97201-5537
(866) 617-6855
(503) 346-8015
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA61071571
WA
363AM0700X
Medical Physician Assistant
Primary
PA214179
OR
Other
Enumeration date
05/05/2019
Last updated
06/06/2023
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