Kelsi Tidball
Kelsi Tidball is a Specialist in Eugene, Oregon. Licensed in Oregon. Registered with an NPI since 2014.
- Licensed in
- OR
- In the registry since
- 2014
Practice location Address checks out
1310 Coburg Rd Ste 5Eugene, OR 97401-5200
Phone: (541) 345-7532
Fax: (541) 345-6692
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Specialist (primary) | Taxonomy 174400000X · Licence 16665 (OR) |
|---|
Record details
| NPI number | 1093121014 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | July 10, 2014 |
| Last updated in NPPES | July 10, 2014 |
| Mailing address | 1310 Coburg Rd Ste 5, Eugene, OR 97401-5200 |
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