Individual
KELLIE BARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
443 NE KNOTT ST, PORTLAND, OR 97212-3108
(971) 404-6146
(503) 282-1990
Mailing address
443 NE KNOTT ST, PORTLAND, OR 97212-3108
(971) 404-6146
(503) 282-1990
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3153
OR
Other
Enumeration date
06/09/2006
Last updated
06/30/2014
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