LEVI ALLEN KELLOGG

CORVALLIS, OR
NPI1821559162
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207L00000X Anesthesiology
(Licence: OR  MD218859)
Additional Taxonomies207L00000X Anesthesiology
(Licence: CA  A184717)
207L00000X Anesthesiology
(Licence: OH  35.143505)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2019-03-28
Last Update Date2024-10-28
Business Address
LEVI ALLEN KELLOGG MD
3600 NW SAMARITAN DR
CORVALLIS, OR 97330-5472
Phone number: 541-768-5111
Mailing Address
LEVI ALLEN KELLOGG MD
PO BOX 1189
CORVALLIS, OR 97339-1189
Phone number: