Kelsey Tate, EFDA
Kelsey Tate, EFDA is a Dental Assistant in Beaverton, Oregon. Licensed in Oregon. Registered with an NPI since 2020.
- Licensed in
- OR
- In the registry since
- 2020
Practice location Address checks out
12450 SW Walker RdBeaverton, OR 97005-1401
Phone: (503) 277-1050
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dental Assistant (primary) | Taxonomy 126800000X · Licence 117418 (OR) |
|---|
Record details
| NPI number | 1285264036 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | EFDA |
| Sole proprietor | No |
| NPI enumerated | January 21, 2020 |
| Last updated in NPPES | January 21, 2020 |
| Certification date | January 21, 2020 |
| Mailing address | 12450 Sw Walker Rd, Beaverton, OR 97005-1401 |
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