Kelso, Ashley R

Kelso, Ashley R is an individual health care provider with primary practice located at 1003 Providence Dr Ste 110 , Newberg OR 97132. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Kelso, Ashley R can be contacted via phone (503) 537-5900.

Contact Information

Primary practice address
1003 Providence Dr Ste 110 Newberg OR 97132
Phone: (503) 537-5900
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA185165 Oregon

Profile Details

NPI number 1073027009
LBN Legal business name Kelso, Ashley R
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2017
Last updated Apr 18th, 2023 - about 2 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 1073027009 NPPES
Oregon MEDICAID 500741164

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