person
Kelsi Tidball
Specialist in Eugene, Oregon
NPI 1093121014

Kelsi Tidball is a Specialist based in Eugene, OR. Kelsi Tidball practices in Eugene, OR. The NPI Number for Kelsi Tidball is 1093121014 and holds a License No. 16665 (Oregon).

The current practice location address for Kelsi Tidball is 1310 Coburg Rd Ste 5, Eugene, OR and can be reached out via phone at 541-345-7532 and via fax at 541-345-6692.

Location: 1310 Coburg Rd Ste 5, Eugene, OR, 97401-5200
person
Provider Profile Details
NPI Number
1093121014
Provider Name
Kelsi Tidball
Credential
Provider Entity Type
Individual
Gender
Female
Address
1310 Coburg Rd Ste 5, Eugene, OR, 97401-5200
Phone Number
541-345-7532
Fax Number
541-345-6692
Provider Enumeration Date
07/10/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1310 Coburg Rd Ste 5
City
State
Zip
97401-5200
Phone Number
541-345-7532
Fax Number
541-345-6692
person
Provider Business Mailing Address Details
Address
1310 Coburg Rd Ste 5
City
State
Zip
97401-5200
Phone Number
541-345-7532
Fax Number
541-345-6692
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
16665 (Oregon)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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