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General NPI Number Information
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NPI Number | 1265050843
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Entity Type | Individual
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Provider Name | KELSIE B LEDFORD PHARMD
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Gender | Female
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Dates
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Enumeration Date | 07/09/2020
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Last Update Date | 11/25/2025
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Provider Practice Location Address
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Address Line | 110 BEAVERCREEK RD STE 100
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City | OREGON CITY
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State | OR
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Zip | 97045-4307
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Country | US
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Telephone | 503-655-8471
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Fax |
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Provider Business Mailing Address
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Address Line | 2435 N WATTS ST
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City | PORTLAND
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State | OR
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Zip | 97217-6837
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Country | US
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Telephone | 270-668-2141
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1835P2201X
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Taxonomy Name | Ambulatory Care Pharmacist
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License Number | RPH-0020713
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 1835P2201X
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Taxonomy Name | Ambulatory Care Pharmacist
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License Number | 03438674
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 1835P2201X
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Taxonomy Name | Ambulatory Care Pharmacist
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License Number | 020724
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License Number State | KY
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