Individual provider · Type 1 NPI

Kelcee Stallings

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

NPI number 1609234038 Active

Practice location

4445 SW Barbur Blvd, Suite #205
Portland, OR 97239-4047

Call (503) 768-6325 Map

Mailing address

9861 SW 35th Dr, Apt. 41
Portland, OR 97219-6141

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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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About NPI 1609234038

Kelcee Stallings's National Provider Identifier is 1609234038, issued on Jan 30, 2016. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Portland, OR. The record was last updated on Jan 30, 2016.