MS. Kelly Elizabeth Edens, BS

NPI #1063008415 in Tigard, Oregon

Provider Information

NPI Number: 1063008415
Entity Type: Individual
Name: MS. Kelly Elizabeth Edens, BS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Credential: BS
Enumeration Date: Dec 18, 2020
Last Updated: Dec 18, 2020

Practice Location

Address: 11860 SW QUEEN ELIZABETH ST
City: Tigard
State: Oregon
ZIP Code: 97224-2634
Phone: (503) 537-7588

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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