KELLY MARIE KING

TIGARD, OR
NPI1235327883
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: OR  LL17410)
Enumeration Date2007-10-09
Last Update Date2020-10-14
Business Address
Mrs. KELLY MARIE KING P.A.
13013 SW CADDY PL
TIGARD, OR 97223-2892
Phone number: 503-766-3263
Mailing Address
Mrs. KELLY MARIE KING P.A.
13013 SW CADDY PL
TIGARD, OR 97223-2892
Phone number: 503-766-3263
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