Individual
KELSEY NOLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 NE IRVING ST STE 440, PORTLAND, OR 97232-4208
(541) 517-9733
Mailing address
1551 PEARL ST, EUGENE, OR 97401-4010
(541) 517-9733
(888) 971-3877
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3550
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500782475
—
OR
Enumeration date
07/13/2020
Last updated
11/14/2025
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