Individual
DR. KELLY PRILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.D.
Contact information
Practice address
200 NE 20TH AVE, SUITE 20, PORTLAND, OR 97232-3094
(971) 270-0220
Mailing address
6715 N WILBUR AVE, PORTLAND, OR 97217-5252
(503) 407-1238
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
1853
OR
Other
Enumeration date
10/11/2011
Last updated
04/02/2013
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