Kelsey Rollins
Individual provider Active NPI Attendant Care Provider · Monroe, OR
NPI 1124533161 · NPPES record last updated Dec 13, 2017
Key facts
- NPI
- 1124533161
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Attendant Care Provider 3747A0650X
- License
- 2497428 (OR)
- Practice address
- 610 Dragon Dr
Monroe, OR 97456-9604 - Phone
- (541) 766-6000
- Fax
- (541) 766-6047
- NPI assigned
- Dec 13, 2017
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2497428 | OR | MD | Attendant Care Provider |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Attendant Care Provider | 3747A0650X | 2497428 | OR | Yes |
Addresses
Primary practice location
610 Dragon Dr
Monroe, OR 97456-9604
Mailing address
530 NW 27TH St
Corvallis, OR 97330-5223
Phone (541) 766-6835
Other providers in Monroe, OR
- Jessica McNichols
- Gabriella Meza
- Miles 2 Smiles, LLC
- Monroe School District 1J
- Jeremy Dean Robertson
- Carol Ann Shu
- Kathleen J. Thompson
- Onesimo Torres Giron
- Elizabeth Williams
- Kristen Amber Wood
All providers in Monroe, OR · Attendant Care Provider in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 13, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.