Individual
KELLY M OVERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5013 NE 48TH AVE, PORTLAND, OR 97218-2051
(206) 218-3735
Mailing address
5013 NE 48TH AVE, PORTLAND, OR 97218-2051
(206) 218-3735
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
07/31/2017
Last updated
07/21/2022
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