Individual
KATRINA KELLAR
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ATC, OTC
Contact information
Practice address
11782 SW BARNES RD, PORTLAND, OR 97225-5933
(503) 214-5200
Mailing address
11782 SW BARNES RD, PORTLAND, OR 97225-5933
(503) 214-5200
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
OR
Other
Enumeration date
04/18/2006
Last updated
07/08/2007
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