SearchOregon225200000X

Kellie Bywater

NPI 1538561600 · on the registry since 2014 · sole proprietor

Practice

Address
3900 Pacific Ave
Forest Grove, OR 97116
Phone
(503) 359-0049
Organisation at this address
Pci Care Venture I Inc.
Forest Grove Snf Healthcare Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
19

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-09-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon