KELLIE L GRAYBOSCH

PORTLAND, OR
NPI1720362882
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: OR  PA156616)
Enumeration Date2011-10-06
Last Update Date2021-03-10
Business Address
KELLIE L GRAYBOSCH PA-C
9427 SW BARNES RD STE 495
PORTLAND, OR 97225-6652
Phone number: 503-216-1661
Mailing Address
KELLIE L GRAYBOSCH PA-C
PO BOX 3158
PORTLAND, OR 97208-3158
Phone number: