Individual
DR. MARISSA ANNE KELLOGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MPH
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, DEPARTMENT OF NEUROLOGY, CR120, PORTLAND, OR 97239-3011
(503) 494-5682
(503) 494-6658
Mailing address
3181 SW SAM JACKSON PARK RD, DEPARTMENT OF NEUROLOGY, CR120, PORTLAND, OR 97239-3011
(503) 494-5682
(503) 494-6658
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD161937
OR
Other
Enumeration date
07/27/2009
Last updated
03/22/2017
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