Individual
KRISTEN RENE ELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
15455 NW GREENBRIER PKWY, STE 111, BEAVERTON, OR 97006-7374
(503) 531-3434
(503) 645-4544
Mailing address
15455 NW GREENBRIER PKWY, STE 111, BEAVERTON, OR 97006-7374
(503) 466-1668
(503) 439-6194
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD23074
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
287384
—
OR
Enumeration date
06/21/2006
Last updated
06/20/2013
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