Grant, Kelly Rose

Grant, Kelly Rose is an sole proprietor health care provider with primary practice located at 22400 Salamo Rd Ste 201 , West Linn OR 97068-8269. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Women's Health, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Grant, Kelly Rose can be contacted via phone (503) 723-7234.

Contact Information

Primary practice address
22400 Salamo Rd Ste 201 West Linn OR 97068-8269
Phone: (503) 723-7234
Fax: (503) 650-4464
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 10002453 Oregon
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 10005243 Oregon

Profile Details

NPI number 1659083129
LBN Legal business name Grant, Kelly Rose
Credentials WHCNP, CNM
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 15th, 2022
Last updated Jun 13th, 2024 - about last year

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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