Individual
MS. BRENDA LEE KELLERMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC1,QMHA
Contact information
Practice address
2415 SE 43RD AVE, SUITE 200, PORTLAND, OR 97206-1600
(503) 230-9654
(503) 239-5953
Mailing address
2415 SE 43RD AVE, SUITE 200, PORTLAND, OR 97206-1600
(503) 230-9654
(503) 239-5953
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/26/2007
Last updated
09/11/2025
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