Individual
KELLI MINTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7035 NE 9TH AVE, PORTLAND, OR 97211
(855) 832-6727
Mailing address
1100 DEXTER AVE N, SEATTLE, WA 98109-3598
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/28/2018
Last updated
03/17/2018
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