Ell, Kristen Rene

Ell, Kristen Rene is an individual health care provider with primary practice located at 15455 Nw Greenbrier Pkwy Ste 111, Beaverton OR 97006-7374. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Ell, Kristen Rene can be contacted via phone (503) 531-3434.

Contact Information

Primary practice address
15455 Nw Greenbrier Pkwy Ste 111 Beaverton OR 97006-7374
Fax: (503) 645-4544
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD23074 Oregon

Profile Details

NPI number 1992741623
LBN Legal business name Ell, Kristen Rene
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2006
Last updated Jun 20th, 2013 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1992741623 NPPES
Oregon MEDICAID 287384

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