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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