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Individual

KELLY ARTHUR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, NCC, LPC, CADC I

Contact information

Practice address
6124 SE MILWAUKIE AVE STE 201, PORTLAND, OR 97202-5347
(503) 752-5168
Mailing address
6124 SE MILWAUKIE AVE STE 201, PORTLAND, OR 97202-5347
(503) 752-5168

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C4
OR

Other

Enumeration date
06/20/2016
Last updated
10/26/2020
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