Individual
PAMELA DEE KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
720 NW 6TH ST, GRANTS PASS, OR 97526-1524
(541) 660-0971
Mailing address
PO BOX 540, MERLIN, OR 97532-0540
(541) 660-0971
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/25/2018
Last updated
05/25/2018
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