KELLY BRISTOL

PORTLAND, OR
NPI1437959681
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: IL  041-306683)
Enumeration Date2025-03-17
Last Update Date2025-03-17
Business Address
KELLY BRISTOL RN
3314 NE 29TH AVE
PORTLAND, OR 97212-2536
Phone number: 503-509-1743
Mailing Address
KELLY BRISTOL RN
3314 NE 29TH AVE
PORTLAND, OR 97212-2536
Phone number: 503-509-1743