Individual
KELLIE SUE VOLMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP, COTA
Contact information
Practice address
3710 SW US VETERANS HOSPITAL RD, PORTLAND, OR 97239-2964
(503) 220-8262
Mailing address
5401 LEARY AVE NW, SEATTLE, WA 98107-4070
(206) 623-0373
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
452921
OR
225700000X
Massage Therapist
MA60317012
WA
Other
Enumeration date
10/23/2012
Last updated
08/27/2022
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