Kelbar, Heidi Jo

Kelbar, Heidi Jo is an individual health care provider with primary practice located at 831 Nw Council Dr Ste 145 , Gresham OR 97030-3795. 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. Kelbar, Heidi Jo can be contacted via phone (503) 489-2650.

Contact Information

Primary practice address
831 Nw Council Dr Ste 145 Gresham OR 97030-3795
Phone: (503) 489-2650
Fax: (503) 489-2659
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA164192 Oregon

Profile Details

NPI number 1285884114
LBN Legal business name Kelbar, Heidi Jo
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2008
Last updated Jul 21st, 2022 - about 4 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 1285884114 NPPES
Oregon MEDICAID 500726635

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