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
Phone: (503) 531-3434
Fax: (503) 645-4544
Website:
Health care specialties
| Specialty | Code | License # | 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 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992741623 | NPPES |
| Oregon | MEDICAID | 287384 |
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