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1013581222
KELSEY JORDAN ST. AMAND
PORTLAND, OR
NPI
1013581222
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Former Name
KELSEY JORDAN DE LEMOS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: OR PA211583)
Enumeration Date
2021-05-13
Last Update Date
2024-02-09
Business Address
KELSEY JORDAN ST. AMAND PA-C, MPH
3181 SW SAM JACKSON PARK RD # L353
PORTLAND, OR 97239-3098
Phone number: 503-494-4190
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Mailing Address
KELSEY JORDAN ST. AMAND PA-C, MPH
3181 SW SAM JACKSON PARK RD # L353
PORTLAND, OR 97239-3098
Phone number: 661-678-3778
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