KELSEY JOHNSON

Technician

Active Individual
NPI: 1063399426

Practice Address

1975 NW 167TH PL # 53
Beaverton, OR 97006

Phone: (503) 730-2973

Specialties

Specialty Code Primary License
Technician 374700000X Yes BAP-E-10258397 (OR)

Frequently Asked Questions

NPI 1063399426 is the National Provider Identifier for KELSEY JOHNSON, a Technician provider located in Beaverton, OR. This NPI was enumerated on August 18, 2025.
KELSEY JOHNSON practices at 1975 NW 167TH PL # 53, Beaverton, OR 97006.

Quick Facts

NPI
1063399426
Type
Individual
Enumerated
Aug 18, 2025
Last Updated
Aug 18, 2025

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