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Kelley Haines Gorsuch
Student in an Organized Health Care Education/Training Program in Lebanon, Oregon
NPI 1457819773

Kelley Haines Gorsuch is a Student in an Organized Health Care Education/Training Program based in Lebanon, OR. Kelley Haines Gorsuch practices in Lebanon, OR. The NPI Number for Kelley Haines Gorsuch is 1457819773 and holds a License No. (Oregon).

The current practice location address for Kelley Haines Gorsuch is 200 Mullins Dr, Lebanon, OR and can be reached out via phone at 971-344-3034.

Location: 200 Mullins Dr, Lebanon, OR, 97355-3983
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1457819773
Provider Name
Kelley Haines Gorsuch
Credential
Provider Entity Type
Individual
Gender
Female
Address
200 Mullins Dr, Lebanon, OR, 97355-3983
Phone Number
971-344-3034
Fax Number
Provider Enumeration Date
03/05/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
200 Mullins Dr
City
Lebanon
State
Oregon
Zip
97355-3983
Phone Number
971-344-3034
Fax Number
person
Provider Business Mailing Address Details
Address
200 Mullins Dr
City
Lebanon
State
Oregon
Zip
97355-3983
Phone Number
971-344-3034
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
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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