Ian Welles Keusink

NPI #1841044534 in Newberg, Oregon

Provider Information

NPI Number: 1841044534
Entity Type: Individual
Name: Ian Welles Keusink
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Apr 17, 2024
Last Updated: Aug 10, 2024

Practice Location

Address: 1308 E 1ST ST STE 3
City: Newberg
State: Oregon
ZIP Code: 97132-2942
Phone: (503) 554-5007

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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