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1710617089
KELSEY STREETER
CLACKAMAS, OR
NPI
1710617089
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: OR 202111760NP-PP)
Enumeration Date
2022-06-10
Last Update Date
2022-06-10
Business Address
KELSEY STREETER NP-Family
9900 SE SUNNYSIDE RD
CLACKAMAS, OR 97015-9777
Phone number: 503-652-2880
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Mailing Address
KELSEY STREETER NP-Family
1010 SW TAYLORS FERRY RD
PORTLAND, OR 97219-4540
Phone number:
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