Individual
KELLY RUTH GROVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10011 SE DIVISION ST STE 202, PORTLAND, OR 97266-1353
(503) 928-3998
(541) 868-2003
Mailing address
399 E 10TH AVE, EUGENE, OR 97401-3380
(541) 868-2004
(541) 868-2003
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4298
OR
Other
Enumeration date
11/11/2010
Last updated
05/04/2022
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