Individual
EMILY KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2507 CHRISTIE DR, LAKE OSWEGO, OR 97034
(503) 635-3416
Mailing address
2949 SE STEELE ST APT 204, PORTLAND, OR 97202-4544
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/13/2020
Last updated
01/13/2020
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