Individual
KELLY ANN BINDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3455 SW US VETERANS HOSPITAL RD, PORTLAND, OR 97239-3076
(503) 494-8311
Mailing address
3455 SW US VETERANS HOSPITAL RD, PORTLAND, OR 97239-3076
(703) 955-0026
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024191458
VA
390200000X
Student in an Organized Health Care Education/Training Program
202102796RN
OR
Other
Enumeration date
06/30/2021
Last updated
11/14/2024
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