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Mrs. Kelly Marie King, PA
Medical Physician Assistant in Tigard, Oregon
NPI 1235327883

Kelly Marie King is a Medical Physician Assistant based in Tigard, OR and is specialized in Medical. Kelly Marie King practices in Tigard, OR and has the professional credentials of PA. The NPI Number for Kelly Marie King is 1235327883 and holds a License No. LL17410 (Oregon).

The current practice location address for Kelly Marie King is 13013 Sw Caddy Pl, Tigard, OR and can be reached out via phone at 503-766-3263.

Location: 13013 Sw Caddy Pl, Tigard, OR, 97223-2892
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235327883
Provider Name
Kelly Marie King
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
13013 Sw Caddy Pl, Tigard, OR, 97223-2892
Phone Number
503-766-3263
Fax Number
Provider Enumeration Date
10/09/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
13013 Sw Caddy Pl
City
Tigard
State
Oregon
Zip
97223-2892
Phone Number
503-766-3263
Fax Number
person
Provider Business Mailing Address Details
Address
13013 Sw Caddy Pl
City
Tigard
State
Oregon
Zip
97223-2892
Phone Number
503-766-3263
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
LL17410 (Oregon)
Definition
Definition to come...
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