Individual
MRS. PATRICIA L KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10102 NE GLISAN ST, PORTLAND, OR 97220-4456
(503) 257-5959
(503) 408-1472
Mailing address
10102 NE GLISAN ST, PORTLAND, OR 97220-4456
(503) 257-5959
(503) 408-1472
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Enumeration date
02/09/2007
Last updated
07/08/2007
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