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Individual

MICHELLE LEA KELLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3710 SW US VETERANS HOSPITAL RD, PORTLAND, OR 97239-2964
(503) 220-8262
Mailing address
415 SW 14TH CT, CANBY, OR 97013-8815

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
01/03/2018
Last updated
01/03/2018
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