Kelsi Tidball

NPI #1093121014 in Eugene, Oregon

Provider Information

NPI Number
1093121014
Entity Type
Individual
Name
Kelsi Tidball
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist
Enumeration Date
Jul 10, 2014
Last Updated
Jul 10, 2014

Practice Location

Address
1310 COBURG RD STE 5
City
Eugene
State
Oregon
ZIP Code
97401-5200
Phone
(541) 345-7532

Specialties & Taxonomy Codes

Specialty
Specialist

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