Individual
KELLY LYNNE TURNER GREBLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6029 SE 46TH AVE, PORTLAND, OR 97206-6233
(971) 237-3379
Mailing address
6029 SE 46TH AVE, PORTLAND, OR 97206-6233
(971) 237-3379
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
—
—
Other
Enumeration date
12/16/2019
Last updated
12/16/2019
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