Tate, Kelsey

Tate, Kelsey is an individual health care provider with primary practice located at 12450 Sw Walker Rd , Beaverton OR 97005-1401. She recently has only one registered license in Dental Providers / Dental Assistant, which is considered as her primary health care specialty. Tate, Kelsey can be contacted via phone (503) 277-1050.

Contact Information

Primary practice address
12450 Sw Walker Rd Beaverton OR 97005-1401
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Assistant 126800000X 117418 Oregon

Profile Details

NPI number 1285264036
LBN Legal business name Tate, Kelsey
Credentials EFDA
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 21st, 2020
Last updated Jan 21st, 2020 - about 5 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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