Kelly N Washburn Controlled Substance Registration for Practitioner
2639 N Watts St, Portland, OR 972176369


Kelly N Washburn is licensed in the eLicensing system of Connecticut. The license credential ID is 1132155. The license type is CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER. The license status is ACTIVE. The address is 2639 N Watts St, Portland, OR 972176369. The zip code is 97217.


Kelly N Washburn · 2639 N Watts St, Portland, OR 972176369

Credential ID 1132155
Name KELLY N WASHBURN
Type INDIVIDUAL
Address 2639 N WATTS ST
PORTLAND, OR 972176369
License Credential CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Full Credential Code CSP.0053991
Credential Type CSP
Credential Number 53991
Status ACTIVE
Status Reason CURRENT
Active 1
Issue Date 11/21/2012
Effective Date 03/01/2015
Expiration Date 02/28/2017
Record Refresh Date 02/06/201

KELLY N WASHBURN · Connecticut Business

Kelly N Washburn · Advanced Practice Registered Nurse 2639 N Watts St, Portland, OR 972176369
Kelly N Washburn · Registered Nurse 2639 N Watts St, Portland, OR 972176369

Zip 97217 · Connecticut Business

Kelly N Washburn · Registered Nurse 2639 N Watts St, Portland, OR 972176369
Kelly N Washburn · Advanced Practice Registered Nurse 2639 N Watts St, Portland, OR 972176369
Joseph F Payne · Professional Engineer 6856 N Atlantic Ave, Portland, OR 972175202
Jennifer L Brooks · Physical Therapist 2631 N Halleck St, Portland, OR 972176361

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