Provider Demographics
NPI:1669276424
Name:AMY KELCHNER ND LLC
Entity type:Organization
Organization Name:AMY KELCHNER ND LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:AMY
Authorized Official - Middle Name:C
Authorized Official - Last Name:KELCHNER
Authorized Official - Suffix:
Authorized Official - Credentials:ND
Authorized Official - Phone:971-361-8171
Mailing Address - Street 1:9370 SW GREENBURG RD STE 601
Mailing Address - Street 2:
Mailing Address - City:TIGARD
Mailing Address - State:OR
Mailing Address - Zip Code:97223-5429
Mailing Address - Country:US
Mailing Address - Phone:971-361-8171
Mailing Address - Fax:
Practice Address - Street 1:9370 SW GREENBURG RD STE 601
Practice Address - Street 2:
Practice Address - City:TIGARD
Practice Address - State:OR
Practice Address - Zip Code:97223-5429
Practice Address - Country:US
Practice Address - Phone:971-361-8171
Practice Address - Fax:971-277-1036
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-02
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175F00000XOther Service ProvidersNaturopathGroup - Single Specialty