Baucum, Kelly

Baucum, Kelly is an individual health care provider with primary practice located at 4605 Ne Fremont St Ste 103 , Portland OR 97213-1708. She recently has only one registered license in Other Service Providers / Acupuncturist, which is considered as her primary health care specialty. Baucum, Kelly can be contacted via phone (503) 395-5228.

Contact Information

Primary practice address
4605 Ne Fremont St Ste 103 Portland OR 97213-1708
Phone: (503) 395-5228
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Acupuncturist 171100000X AC175542 Oregon

Profile Details

NPI number 1104284736
LBN Legal business name Baucum, Kelly
Credentials Licensed Acupuncturist (LAC)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2016
Last updated Feb 10th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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