Individual
MRS. LAURIE LEE KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
4550 DOGWOOD DR, LAKE OSWEGO, OR 97035-8410
(503) 310-9485
(503) 620-1635
Mailing address
4550 DOGWOOD DR, LAKE OSWEGO, OR 97035-8410
(503) 310-9485
(503) 620-1635
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H2626
OR
Other
Enumeration date
12/27/2006
Last updated
07/08/2007
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