Individual
DR. KELLY JAYNE KALK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
700 SE DOWSETT LN, GRESHAM, OR 97080-7816
(503) 936-5098
Mailing address
700 SE DOWSETT LN, GRESHAM, OR 97080-7816
(503) 936-5098
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
111N00000X
Chiropractor
Primary
5012
OR
Other
Enumeration date
12/12/2011
Last updated
05/30/2013
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