Individual
BRYAN LAURENCE KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
971 SW WALNUT ST, HILLSBORO, OR 97123-5651
(503) 640-5297
(503) 640-5780
Mailing address
971 SW WALNUT ST, HILLSBORO, OR 97123-5651
(503) 640-5297
(503) 640-5780
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/27/2010
Last updated
08/27/2010
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