Kelley Ruth Girouard, PA-S - Portland, OR

Kelley Ruth Girouard, PA-S

Student in an Organized Health Care Education/Training Program in Portland, Oregon

NPI 1225622293

Kelley Ruth Girouard is a Student in an Organized Health Care Education/Training Program based in Portland, OR. Kelley Ruth Girouard practices in Portland, OR and has the professional credentials of PA-S. The NPI Number for Kelley Ruth Girouard is 1225622293 and holds a License No. (Oregon).

The current practice location address for Kelley Ruth Girouard is 2730 S Moody Ave, Portland, OR and can be reached out via phone at 503-494-3633.

Location: 2730 S Moody Ave, Portland, OR, 97201-5042

NPI Number

1225622293

Provider Name

Kelley Ruth Girouard

Credential

PA-S

Provider Entity Type

Individual

Gender

Female

Address

2730 S Moody Ave, Portland, OR, 97201-5042

Phone Number

503-494-3633

Fax Number

Provider Enumeration Date

02/21/2021

Last Update Date

03/10/2024

Address

2730 S Moody Ave

City

Portland

State

Oregon

Zip

97201-5042

Phone Number

503-494-3633

Fax Number

Address

2730 S Moody Ave

City

Portland

State

Oregon

Zip

97201-5042

Phone Number

503-494-3633

Fax Number

Type

Student, Health Care

Classification

Student in an Organized Health Care Education/Training Program

Speciality

Taxonomy

390200000X

License No.

(Oregon)

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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