Individual
BRIDGET KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14355 SW ALLEN BLVD STE 150, BEAVERTON, OR 97005-4741
(503) 828-3402
Mailing address
16030 SW AUDUBON ST UNIT 103, BEAVERTON, OR 97003-2777
(774) 279-8121
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/29/2018
Last updated
07/29/2018
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