Individual
MS. KELLY K CONLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1017 SW MORRISON ST, STE 403, PORTLAND, OR 97205
(503) 893-2913
Mailing address
1025 SW 11TH AVE, APT. 31, PORTLAND, OR 97205-2056
(917) 331-1045
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
20794
OR
Other
Enumeration date
12/08/2014
Last updated
03/02/2021
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