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Individual

ADELINE MICHELLE KELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ND

Contact information

Practice address
339 BOZARTH AVE, WOODLAND, WA 98674-8424
(360) 841-8336
(360) 841-8428
Mailing address
39809 NE 94TH AVE, LA CENTER, WA 98629-4813
(503) 753-6352
(360) 841-8428

Taxonomy

Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
00001347
WA
175F00000X
Naturopath
1299
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
277820
OR
Enumeration date
02/26/2007
Last updated
02/01/2023
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