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Organization

KELLEE PURDY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KELLEE PURDY LCSW (OWNER)
(971) 227-9277
Entity
Organization

Contact information

Practice address
1832 NE BROADWAY ST, PORTLAND, OR 97232-1992
(971) 227-9277
Mailing address
2717 SE 64TH AVE, PORTLAND, OR 97206-1373
(971) 227-9277

Taxonomy

Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
4182
OR

Other

Enumeration date
03/28/2014
Last updated
03/28/2014
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