Individual
DR. KELLEY MARIE HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC, PHD, LMT, HFS
Contact information
Practice address
2600 NW VAUGHN ST, PORTLAND, OR 97210-2224
(508) 864-1056
Mailing address
2465 NW RALEIGH ST, APT. 107, PORTLAND, OR 97210-2648
(508) 864-1056
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5893
OR
225700000X
Massage Therapist
18150
OR
Other
Enumeration date
02/19/2013
Last updated
02/24/2018
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