Individual
DANIEL DAVID KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
5200 MEADOWS RD STE 150, LAKE OSWEGO, OR 97035-0066
(503) 726-5216
Mailing address
4742 RIVERGROVE CT N, KEIZER, OR 97303-6249
(503) 385-6319
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/23/2018
Last updated
04/23/2018
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