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Kelly Clayton Fnp Inc
Primary Care Clinic/Center in Shady Cove, Oregon
NPI 1104089309

Kelly Clayton Fnp Inc is a Primary Care Clinic/Center based in Shady Cove, OR and is specialized in Primary Care. Kelly Clayton Fnp Inc practices in Shady Cove, OR. The NPI Number for Kelly Clayton Fnp Inc is 1104089309 and holds a License No. 200150078NP (Oregon).

The current practice location address for Kelly Clayton Fnp Inc is 387 Pinetop Terrace, Shady Cove, OR and can be reached out via phone at 541-878-3537.

Location: 387 Pinetop Terrace, Shady Cove, OR, 97539-0001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1104089309
Provider Name
Kelly Clayton Fnp Inc
Credential
Provider Entity Type
Organization
Address
387 Pinetop Terrace, Shady Cove, OR, 97539-0001
Phone Number
541-878-3537
Fax Number
Provider Enumeration Date
07/08/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1396744769 01 OR INDIVIDUAL NPI
228862 05 OR
institution
Provider Business Practice Location Address Details
Address
387 Pinetop Terrace
City
Shady Cove
State
Oregon
Zip
97539
Phone Number
541-878-3537
Fax Number
person
Provider Business Mailing Address Details
Address
387 Pinetop Terrace
City
Shady Cove
State
Oregon
Zip
97539
Phone Number
541-878-3537
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
200150078NP (Oregon)
Definition
Definition to come...
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