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1780332486
MEGAN SUMMER KELLISON
PORTLAND, OR
NPI
1780332486
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OR 202111862NP-PP)
Enumeration Date
2022-03-13
Last Update Date
2022-03-13
Business Address
MEGAN SUMMER KELLISON FNP-MSN
6637 SE MILWAUKIE AVE STE 202
PORTLAND, OR 97202-5658
Phone number: 503-208-3597
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Mailing Address
MEGAN SUMMER KELLISON FNP-MSN
6637 SE MILWAUKIE AVE STE 202
PORTLAND, OR 97202-5658
Phone number: 503-208-3597
Copy
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