- Practice location
- 11860 SW Queen Elizabeth St, Tigard, OR 97224-2634
- Phone
- 503-537-7588
- Fax
- —
- Last updated
- December 18, 2020
Kelly Elizabeth Edens is a Counselor based in Tigard, OR. Kelly Elizabeth Edens practices in Tigard, OR and has the professional credentials of BS. The NPI Number for Kelly Elizabeth Edens is 1063008415. The current practice location address for Kelly Elizabeth Edens is 11860 SW Queen Elizabeth St, Tigard, OR 97224-2634 and can be reached out via phone at 503-537-7588.
Provider Profile Details
- NPI Number
- 1063008415
- Provider Name
- Kelly Elizabeth Edens
- Credential
- BS
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 11860 SW Queen Elizabeth St, Tigard, OR 97224-2634
- Phone Number
- 503-537-7588
- Primary Taxonomy
- Counselor · 101Y00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- December 18, 2020
- Last Update Date
- December 18, 2020
- Certification Date
- December 18, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 11860 SW Queen Elizabeth St
Tigard, OR 97224-2634 - City
- Tigard
- State
- Oregon
- Zip
- 97224-2634
- Phone Number
- 503-537-7588
Provider Business Mailing Address Details
- Address
- 11860 SW Queen Elizabeth St
Tigard, OR 97224-2634 - City
- Tigard
- State
- OR
- Zip
- 97224-2634
- Phone Number
- 503-537-7588
License Information
- Taxonomy
- Counselor · 101Y00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Counselors near Tigard, OR
View all Counselors in Tigard →Frequently Asked Questions
What is the NPI number of Ms. Kelly E Edens, BS?
The NPI number of Ms. Kelly E Edens, BS is 1063008415. It was assigned on December 18, 2020 and is currently active in the NPPES registry.
What is the specialty of Ms. Kelly E Edens, BS?
Ms. Kelly E Edens, BS is registered under the primary taxonomy Counselor (code 101Y00000X).
Where does Ms. Kelly E Edens, BS practice?
The practice location is 11860 SW Queen Elizabeth St, Tigard, OR 97224-2634. The office can be reached at 503-537-7588 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063008415 directly on the NPPES registry website.