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Individual

DR. KELLI LEA HOLLOWAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
4800 SW MACADAM AVENUE, SUITE 325, PORTLAND, OR 97239-3927
(503) 295-7900
(503) 224-8883
Mailing address
4800 S.W. MACADAM AVENUE, SUITE 325, PORTLAND, OR 97239-3927
(503) 295-7900
(503) 224-8883

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
MD23361
OR

Other

Enumeration date
02/03/2009
Last updated
02/03/2009
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