Individual
DR. CARISHA JUSTINE KELSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1040 NW 22ND AVE STE 320, PORTLAND, OR 97210-3823
(503) 413-6294
(503) 413-7780
Mailing address
PO BOX 3808, PORTLAND, OR 97208-3808
(503) 413-3900
(503) 413-3710
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3854
OR
Other
Enumeration date
04/24/2017
Last updated
10/22/2024
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