Block, Kelly Dawn
Block, Kelly Dawn is an individual health care provider with primary practice located at 4855 Sw Western Ave , Beaverton OR 97005-3460. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Block, Kelly Dawn can be contacted via phone (503) 350-2408.Contact Information
Primary practice address
4855 Sw Western Ave
Beaverton OR 97005-3460
Phone: (503) 350-2408
Fax: (503) 350-2438
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | MD20692 | Oregon |
Profile Details
NPI number | 1396831913 |
---|---|
LBN Legal business name | Block, Kelly Dawn |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 4th, 2006 |
Last updated | Feb 4th, 2022 - about 3 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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