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
Fax: (503) 350-2438
Website:

Health care specialties

SpecialtyCodeLicense #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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