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Contact Information

KELSEY E HANCOCK, CTRS
304 PEARL ST
OREGON CITY, OR97045-2684
 Phone: 503-657-9889
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Case Manager/Care Coordinator

171M00000X
 

Recreation Therapist

225800000X
Indicates primary specialty

NPI Profile & details for KELSEY E HANCOCK · (Female)

NPI Number 1871176685
Status Active
Credentials CTRS
Entity Individual
Enumeration date 04/29/2021
Last updated 04/29/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • OR License # 21-QMHA-R-1125
  • OR License # 67061
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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